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General NPI Number Information
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NPI Number | 1053487421
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Entity Type | Individual
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Provider Name | MICHAEL S. BENNINGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | CLEVELAND CLINIC 9500 EUCLID AVENUE, A-71
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-6686
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Fax | 216-445-9409
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Provider Business Mailing Address
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Address Line | CLEVELAND CLINIC 9500 EUCLID AVENUE, A-71
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-6686
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Fax | 216-445-9409
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 4301052477
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 055213
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License Number State | OH
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