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General NPI Number Information
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NPI Number | 1225037633
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Entity Type | Individual
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Provider Name | TERRY LYNN BENHAM PT
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 16410 SMOKEY POINT BLVD SUITE 309
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City | ARLINGTON
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State | WA
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Zip | 98223-8415
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Country | US
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Telephone | 360-658-7334
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Fax | 360-657-8453
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Provider Business Mailing Address
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Address Line | 16410 SMOKEY POINT BLVD SUITE 309
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City | ARLINGTON
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State | WA
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Zip | 98223-8415
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Country | US
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Telephone | 360-658-7334
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Fax | 360-657-8453
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00000609
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License Number State | WA
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