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General NPI Number Information
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NPI Number | 1376707075
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Entity Type | Organization
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Legal Business Name | BENONS LLC
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 1629 K ST NW
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City | WASHINGTON
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State | DC
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Zip | 20006-1602
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Country | US
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Telephone | 240-595-0960
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Fax | 301-809-3459
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Provider Business Mailing Address
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Address Line | 1629 K ST NW
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City | WASHINGTON
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State | DC
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Zip | 20006-1602
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Country | US
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Telephone | 240-595-0960
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Fax | 301-809-3459
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. LEROY L BENONS
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Credential |
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Telephone | 240-595-0960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | WMATC 1476
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License Number State | DC
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