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General NPI Number Information
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NPI Number | 1497077168
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Entity Type | Organization
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Legal Business Name | BENNETT SERVICES, LLC
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 134 EMORY HEIGHTS RD
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City | HARRIMAN
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State | TN
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Zip | 37748-5223
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Country | US
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Telephone | 865-394-0567
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Fax | 865-882-0451
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Provider Business Mailing Address
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Address Line | PO BOX 1693
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City | HARRIMAN
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State | TN
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Zip | 37748-1693
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Country | US
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Telephone | 865-394-0567
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Fax | 865-882-0451
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Authorized Official
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Title or Position | OWNER / OPERATOR
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Name | MR. JONATHAN W BENNETT
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Credential |
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Telephone | 865-394-0567
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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 |
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License Number State | TN
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