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General NPI Number Information
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NPI Number | 1518312735
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Entity Type | Organization
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Legal Business Name | BENOY GEORGE PLLC
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 8328 PINEVILLE MATTHEWS RD UNIT 302
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City | CHARLOTTE
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State | NC
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Zip | 28226-3776
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Country | US
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Telephone | 704-313-1686
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Fax |
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Provider Business Mailing Address
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Address Line | 6890 POPPY HILLS LN APT 1722
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City | CHARLOTTE
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State | NC
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Zip | 28226-6558
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Country | US
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Telephone | 704-313-1686
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | BENOY GEORGE
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Credential |
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Telephone | 704-313-1686
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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 | 9936
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License Number State | NC
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