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General NPI Number Information
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NPI Number | 1154588234
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Entity Type | Organization
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Legal Business Name | BENNETT ASSIST LLC
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Dates
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Enumeration Date | 05/17/2008
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Last Update Date | 05/17/2008
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Provider Practice Location Address
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Address Line | 115 HAVENS MILL RD
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City | FREEHOLD
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State | NJ
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Zip | 07728-3060
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Country | US
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Telephone | 908-415-8160
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Fax | 732-308-1544
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Provider Business Mailing Address
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Address Line | 115 HAVENS MILL RD
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City | FREEHOLD
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State | NJ
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Zip | 07728-3060
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Country | US
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Telephone | 908-415-8160
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Fax | 732-308-1544
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Authorized Official
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Title or Position | CRNFA
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Name | MRS. HEIDI JONES BENNETT
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Credential | CRNFA
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Telephone | 908-415-8160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 26NO0855000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 26NO08550000
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License Number State | NJ
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