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General NPI Number Information
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NPI Number | 1114841939
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Entity Type | Individual
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Provider Name | OLIVIA ANN BENNER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 170 FORD RD
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City | JOHN DAY
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State | OR
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Zip | 97845-2009
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Country | US
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Telephone | 541-575-1311
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Fax |
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Provider Business Mailing Address
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Address Line | 103 CEDAR CREST CT
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City | ORWIGSBURG
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State | PA
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Zip | 17961-2344
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Country | US
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Telephone | 570-449-8125
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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 | PT034558
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License Number State | PA
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