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General NPI Number Information
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NPI Number | 1063732352
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Entity Type | Organization
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Legal Business Name | JOHN R BENSON, M.D. (P.A.)
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 1062 E LANCASTER AVE ROSEMONT PLAZA APTS STE 7
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City | ROSEMONT
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State | PA
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Zip | 19010-1568
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Country | US
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Telephone | 610-525-2274
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Fax | 610-526-0726
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Provider Business Mailing Address
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Address Line | 1062 E LANCASTER AVE ROSEMONT PLAZA APTS STE 7
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City | ROSEMONT
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State | PA
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Zip | 19010-1568
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Country | US
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Telephone | 610-525-2274
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Fax | 610-526-0726
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN R. BENSON
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Credential | M.D.
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Telephone | 610-525-2274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | P.A.MD#024939L
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License Number State | PA
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