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General NPI Number Information
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NPI Number | 1225354442
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Entity Type | Organization
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Legal Business Name | ALLEN J. BENNETT, M.D.,P.C.
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 07/19/2010
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Provider Practice Location Address
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Address Line | 39 GRAMERCY PARK N SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10010-6302
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Country | US
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Telephone | 212-505-7660
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Fax |
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Provider Business Mailing Address
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Address Line | 39 GRAMERCY PARK N SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10010-6302
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALLEN BENNETT
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Credential | MD
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Telephone | 212-505-7660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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