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NPI Code Detail

MEDICARE: LINDA GAIL BENNETT

MEDICARE: LINDA GAIL BENNETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1326646605
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA GAIL BENNETT
Provider Business Mailing Address
First Line : 120 2ND AVE
Second Line :
City : HINTON
State : WV
Zip : 25951-2402
Country : US
Telephone Number : 304-466-4019
Fax Number : 304-466-1890
Provider Business Practice Location Address
First Line : 120 2ND AVE
Second Line :
City : HINTON
State : WV
Zip : 25951-2402
Country : US
Telephone Number : 304-466-4019
Fax Number : 304-466-1890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2020
Last Update Date : 10/09/2020

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Directions to “ LINDA GAIL BENNETT ” Practice Location

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