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General NPI Number Information
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NPI Number | 1083782080
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Entity Type | Organization
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Legal Business Name | BENSON NURSING HOME, INC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1315 S HUTCHINSON ST
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City | NASHVILLE
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State | AR
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Zip | 71852-3259
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Country | US
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Telephone | 870-845-4933
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Fax | 870-845-2183
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Provider Business Mailing Address
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Address Line | 1315 S HUTCHINSON ST
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City | NASHVILLE
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State | AR
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Zip | 71852-3259
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Country | US
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Telephone | 870-845-4933
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Fax | 870-845-2183
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIE G BENSON, JR.
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Credential | RN
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Telephone | 870-845-4933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0055
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License Number State | AR
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