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Individual
DANIEL A BENTLEY
Active
Individual
DANIEL A BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085.004313
IL
363AS0400X
Surgical Physician Assistant
PA9104555
FL
Other
Enumeration date
09/22/2006
Last updated
06/28/2013
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