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General NPI Number Information
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NPI Number | 1548426000
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Entity Type | Individual
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Provider Name | ROBERT F BENNINGFIELD DDS
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Gender | Male
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 111 SPROLES DR
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City | BENBROOK
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State | TX
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Zip | 76126-3213
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Country | US
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Telephone | 817-249-4150
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Fax | 817-249-4150
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Provider Business Mailing Address
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Address Line | 111 SPROLES DR
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City | BENBROOK
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State | TX
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Zip | 76126-3213
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Country | US
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Telephone | 817-249-4150
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Fax | 817-249-4150
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11879
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License Number State | TX
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