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General NPI Number Information
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NPI Number | 1184936031
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Entity Type | Individual
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Provider Name | BENJAMIN MATHEAU CONTRATTO D.M.D
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Gender | Male
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 116 COFFEE ST E
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City | TALLADEGA
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State | AL
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Zip | 35160-2402
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Country | US
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Telephone | 256-362-8511
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Fax |
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Provider Business Mailing Address
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Address Line | 5735 BLANFORD ST
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City | IRONDALE
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State | AL
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Zip | 35210-3404
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Country | US
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Telephone | 205-305-1703
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5779
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License Number State | AL
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