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General NPI Number Information
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NPI Number | 1023397007
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Entity Type | Organization
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Legal Business Name | C W BENNETT & ASSOCIATES PC
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 736 CENTER DR APT 233
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City | SAN MARCOS
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State | CA
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Zip | 92069-3585
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Country | US
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Telephone | 760-593-7174
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Fax | 480-772-4373
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Provider Business Mailing Address
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Address Line | 736 CENTER DR APT 233
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City | SAN MARCOS
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State | CA
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Zip | 92069-3585
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Country | US
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Telephone | 760-593-7174
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Fax | 480-772-4373
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | WILLIAM E BENNETT
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Credential | RN
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Telephone | 760-593-7174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 553329
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 553329
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License Number State | CA
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