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General NPI Number Information
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NPI Number | 1154828457
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Entity Type | Individual
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Provider Name | MORGAN LEA BENEFIELD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 1416 E MATTHEWS AVE STE 200
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City | JONESBORO
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State | AR
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Zip | 72401-4362
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Country | US
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Telephone | 870-932-1820
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Fax | 870-972-6712
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Provider Business Mailing Address
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Address Line | 1010 S MAIN ST
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City | JONESBORO
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State | AR
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Zip | 72401-3503
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Country | US
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Telephone | 870-932-1820
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Fax | 205-348-1772
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E16993
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License Number State | AR
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