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General NPI Number Information
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NPI Number | 1225518293
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Entity Type | Individual
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Provider Name | PATRICIA MARION BENJAMIN RN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2018
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Last Update Date | 08/18/2018
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Provider Practice Location Address
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Address Line | 43 WOODLAND ST FL 3
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City | HARTFORD
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State | CT
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Zip | 06105-2363
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Country | US
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Telephone | 860-727-8935
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Fax |
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Provider Business Mailing Address
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Address Line | 66 POND ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-3320
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Country | US
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Telephone | 860-930-1643
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | R54504
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License Number State | CT
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