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NPI 1114342318

NPI 1114342318 : EMILY BENZER DO : COLUMBIA, MO

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General NPI Number Information
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    NPI Number           |    1114342318
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY BENZER DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/25/2014
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    Last Update Date     |    12/23/2025
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Provider Practice Location Address
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    Address Line         |    1 HOSPITAL DR MCHANEY HALL 404
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    City                 |    COLUMBIA
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    State                |    MO
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    Zip                  |    65212-1000
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    Country              |    US
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    Telephone            |    573-884-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3400 SPRUCE ST MCHANEY HALL 404
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19104-4208
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    Country              |    US
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    Telephone            |    215-662-7320
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    Fax                  |    215-349-5917
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    OS024786
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    2015021901
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    License Number State |    MO
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