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General NPI Number Information
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NPI Number | 1033390935
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Entity Type | Individual
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Provider Name | PAULA L BENBOW D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 110 PACKERLAND DR SUITE B
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City | GREEN BAY
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State | WI
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Zip | 54303-4861
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Country | US
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Telephone | 920-494-8008
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Fax | 920-494-1844
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Provider Business Mailing Address
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Address Line | 110 PACKERLAND DR SUITE B
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City | GREEN BAY
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State | WI
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Zip | 54303-4861
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Country | US
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Telephone | 920-494-8008
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Fax | 920-494-1844
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2625-012
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License Number State | WI
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