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General NPI Number Information
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NPI Number | 1083698385
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Entity Type | Individual
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Provider Name | MICHAEL ERNEST BENNETT MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 938 BANNOCK ST STE. 300
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City | DENVER
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State | CO
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Zip | 80204-4028
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Country | US
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Telephone | 303-914-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 1746 COLE BLVD STE 150
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City | LAKEWOOD
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State | CO
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Zip | 80401-3267
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Country | US
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Telephone | 303-914-8800
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 44660
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 200400806
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DR.0044660
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | CDRH.0044660
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License Number State | CO
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