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General NPI Number Information
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NPI Number | 1144729591
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Entity Type | Organization
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Legal Business Name | RICHARD L BENSON PHD PA
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 8826 SANTA FE DR STE 170
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City | OVERLAND PARK
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State | KS
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Zip | 66212-3673
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Country | US
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Telephone | 913-438-2100
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Fax | 913-438-2119
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Provider Business Mailing Address
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Address Line | 8826 SANTA FE DR STE 170
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City | OVERLAND PARK
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State | KS
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Zip | 66212-3673
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Country | US
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Telephone | 913-438-2100
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Fax | 913-438-2119
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD L BENSON
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Credential | PHD
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Telephone | 913-438-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP1343
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License Number State | KS
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