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NPI 1225662943

NPI 1225662943 : BRANDON J BENSING : CONWAY, SC

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General NPI Number Information
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    NPI Number           |    1225662943
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    Entity Type          |    Individual 
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    Provider Name        |    BRANDON J BENSING
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/03/2020
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    Last Update Date     |    10/27/2025
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Provider Practice Location Address
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    Address Line         |    117 RIVERTOWN BLVD STE F 
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    City                 |    CONWAY
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    State                |    SC
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    Zip                  |    29526-4472
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    Country              |    US
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    Telephone            |    843-936-1620
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1200 CORPORATE DR STE 400 
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    City                 |    HOOVER
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    State                |    AL
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    Zip                  |    35242-5424
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    Country              |    US
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    Telephone            |    423-238-7217
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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        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    P19366
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    10144
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    License Number State |    SC
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