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General NPI Number Information
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NPI Number | 1609055524
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Entity Type | Individual
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Provider Name | PAMELA ANNE BENNINGHOVEN NP
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Gender | Female
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Dates
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Enumeration Date | 10/27/2007
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 1441 CONSTITUTION BLVD
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City | SALINAS
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State | CA
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Zip | 93906-3100
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Country | US
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Telephone | 831-755-4111
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Fax | 831-772-7333
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Provider Business Mailing Address
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Address Line | 1441 CONSTITUTION BLVD
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City | SALINAS
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State | CA
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Zip | 93906-3100
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Country | US
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Telephone | 831-755-4111
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Fax | 831-772-7333
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 17428
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 17428
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License Number State | CA
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