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General NPI Number Information
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NPI Number | 1457094518
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Entity Type | Individual
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Provider Name | MRS. JENNIFER BENOIT
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Gender | Female
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Dates
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Enumeration Date | 04/17/2022
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 32 CHAMBERLAIN HWY
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City | KENSINGTON
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State | CT
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Zip | 06037-1921
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Country | US
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Telephone | 860-829-9090
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Fax | 860-828-7406
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Provider Business Mailing Address
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Address Line | 899 FORBES ST
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City | EAST HARTFORD
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State | CT
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Zip | 06118
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Country | US
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Telephone | 860-810-0789
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3282
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License Number State | CT
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