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General NPI Number Information
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NPI Number | 1083714059
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Entity Type | Individual
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Provider Name | ANGELA BENSON PT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 300 SEVILLE RD
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City | HURRICANE
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State | WV
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Zip | 25526-9206
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Country | US
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Telephone | 304-757-6805
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Fax |
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Provider Business Mailing Address
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Address Line | 37 MILL CREEK XING
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City | HURRICANE
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State | WV
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Zip | 25526-8701
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Country | US
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Telephone | 304-389-5826
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 002495
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License Number State | WV
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