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General NPI Number Information
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NPI Number | 1285618629
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Entity Type | Organization
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Legal Business Name | DONNA C. BENNETT, MD, PA
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4220 N DAVIS HWY BUILDING A, SUITE 100
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City | PENSACOLA
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State | FL
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Zip | 32503-2752
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Country | US
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Telephone | 850-475-0007
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Fax | 850-475-1309
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Provider Business Mailing Address
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Address Line | 4220 N DAVIS HWY BUILDING A, SUITE 100
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City | PENSACOLA
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State | FL
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Zip | 32503-2752
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Country | US
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Telephone | 850-475-0007
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Fax | 850-475-1309
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Authorized Official
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Title or Position | OWNER
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Name | DONNA C. BENNETT
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Credential | MD
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Telephone | 850-475-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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