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General NPI Number Information
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NPI Number | 1023511391
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Entity Type | Individual
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Provider Name | SCOTT BENET BANKARD MPT
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Gender | Male
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 769 CHERAW RD
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City | HAMLET
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State | NC
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Zip | 28345-7158
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Country | US
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Telephone | 910-582-0021
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Fax |
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Provider Business Mailing Address
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Address Line | 1140 HIGH VISTA DR
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City | MILLS RIVER
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State | NC
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Zip | 28759-2561
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Country | US
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Telephone | 828-489-6681
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 9735
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License Number State | NC
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