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General NPI Number Information
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NPI Number | 1124025564
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Entity Type | Individual
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Provider Name | SCOTT MCCLARREN BENJAMIN DPM
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1159 W JEFFERSON ST
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City | FRANKLIN
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State | IN
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Zip | 46131-2794
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Country | US
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Telephone | 317-346-3913
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Fax | 317-346-3001
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Provider Business Mailing Address
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Address Line | 1159 W JEFFERSON ST
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City | FRANKLIN
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State | IN
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Zip | 46131-2794
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Country | US
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Telephone | 317-346-3913
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Fax | 812-378-5808
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 07000853A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 07000853A
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License Number State | IN
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