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General NPI Number Information
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NPI Number | 1154399897
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Entity Type | Individual
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Provider Name | MARGRET BENASUTTI ANP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 715 S 3RD ST
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City | MONTROSE
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State | CO
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Zip | 81401-4209
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Country | US
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Telephone | 970-249-6737
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Fax | 970-252-0112
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Provider Business Mailing Address
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Address Line | PO BOX 1927
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City | GRAND JUNCTION
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State | CO
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Zip | 81502-1927
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Country | US
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Telephone | 970-986-3622
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Fax | 970-683-5249
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 97117
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APN.0000852-NP
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License Number State | CO
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