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General NPI Number Information
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NPI Number | 1427330554
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Entity Type | Individual
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Provider Name | SAOLY X BENSON DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 5980 S DURANGO DR STE 124
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City | LAS VEGAS
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State | NV
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Zip | 89113-1775
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Country | US
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Telephone | 702-800-4698
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Fax |
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Provider Business Mailing Address
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Address Line | 1452 W HORIZON RIDGE PKWY # 653
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City | HENDERSON
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State | NV
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Zip | 89012-4422
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Country | US
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Telephone | 253-985-3120
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6177
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | S3-272
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License Number State | NV
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