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General NPI Number Information
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NPI Number | 1497949549
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Entity Type | Organization
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Legal Business Name | W E BENNETT MD
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 2305 N GATEWAY AVE UNIT 9
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City | HARRIMAN
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State | TN
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Zip | 37748-2025
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Country | US
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Telephone | 865-882-9775
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Fax | 865-882-7804
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Provider Business Mailing Address
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Address Line | 2305 N GATEWAY AVE UNIT 9
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City | HARRIMAN
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State | TN
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Zip | 37748-2025
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Country | US
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Telephone | 865-882-9775
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Fax | 865-882-7804
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM E BENNETT
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Credential | M.D.
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Telephone | 865-882-9775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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