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General NPI Number Information
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NPI Number | 1003827437
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Entity Type | Individual
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Provider Name | ELIZABETH L BENJAMIN CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 600 WILSON CREEK RD
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City | LAWRENCEBURG
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State | IN
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Zip | 47025
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Country | US
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Telephone | 812-537-1010
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Fax | 812-923-3209
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Provider Business Mailing Address
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Address Line | PO BOX 643179
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City | CINCINNATI
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State | OH
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Zip | 45264-3179
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Country | US
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Telephone | 937-293-0247
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1055243
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 085330
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28151384A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 22698
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License Number State | KY
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