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General NPI Number Information
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NPI Number | 1225183932
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Entity Type | Organization
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Legal Business Name | DR. F. BENNY ERWIN
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 215 LUCKY ST
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City | WESTMINSTER
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State | SC
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Zip | 29693-1855
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Country | US
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Telephone | 864-647-2000
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Fax | 864-647-3736
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Provider Business Mailing Address
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Address Line | 215 LUCKY ST P O BOX 237
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City | WESTMINSTER
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State | SC
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Zip | 29693-1855
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Country | US
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Telephone | 864-647-2000
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Fax | 864-647-3736
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CATHY H MARCENGILL
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Credential |
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Telephone | 864-647-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | GA9157
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License Number State | GA
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