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General NPI Number Information
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NPI Number | 1336447390
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Entity Type | Organization
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Legal Business Name | BENJAMIN M. BENZIO, D.M.D. P.C.
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 3137 HIGHWAY 9
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City | CHERAW
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State | SC
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Zip | 29520-6633
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Country | US
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Telephone | 843-537-9044
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Fax | 843-537-5853
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Provider Business Mailing Address
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Address Line | 3137 HIGHWAY 9
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City | CHERAW
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State | SC
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Zip | 29520-6633
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Country | US
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Telephone | 843-537-9044
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Fax | 843-537-5853
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BENJAMIN M. BENZIO
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Credential | D.M.D.
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Telephone | 724-366-4178
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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 | 6985
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License Number State | SC
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