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General NPI Number Information
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NPI Number | 1326003922
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Entity Type | Individual
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Provider Name | KATHLEEN M BENNETT D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 222 PIEDMONT AVE SUITE 8300
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City | CINCINNATI
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State | OH
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Zip | 45219-4231
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Country | US
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Telephone | 513-871-9111
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Fax | 513-467-0943
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Provider Business Mailing Address
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Address Line | 2560 PERKINS LN
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City | CINCINNATI
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State | OH
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Zip | 45208-2723
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Country | US
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Telephone | 513-871-9111
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Fax | 513-467-0943
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0382344
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 21710
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License Number State | OH
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