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NPI 1285096222

NPI 1285096222 : BENNY CHEN : BURLINGTON, VT

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General NPI Number Information
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    NPI Number           |    1285096222
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    Entity Type          |    Individual 
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    Provider Name        |    BENNY CHEN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/28/2016
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    111 COLCHESTER AVE 
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    City                 |    BURLINGTON
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    State                |    VT
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    Zip                  |    05401-1473
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    Country              |    US
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    Telephone            |    802-847-2700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 110429 
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80042-0429
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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    |    
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    042.0018922
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    License Number State |    VT
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Taxonomy #2
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    Taxonomy Code        |    2080P0204X
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    Taxonomy Name        |    Pediatric Emergency Medicine (Pediatrics) Physician
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    License Number       |    DR.0068903
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    2080P0204X
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    Taxonomy Name        |    Pediatric Emergency Medicine (Pediatrics) Physician
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    License Number       |    MD2019-0980
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    License Number State |    NM
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Taxonomy #4
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    Taxonomy Code        |    2080P0204X
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    Taxonomy Name        |    Pediatric Emergency Medicine (Pediatrics) Physician
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    License Number       |    042.0018922
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    License Number State |    VT
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Taxonomy #5
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207PE0004X
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    Taxonomy Name        |    Emergency Medical Services (Emergency Medicine) Physician
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    License Number       |    042.0018922
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    License Number State |    VT
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