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General NPI Number Information
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NPI Number | 1619293727
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Entity Type | Individual
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Provider Name | NICHOLAS G BENNETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 3250 MARLETTE CIRCLE
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City | SOUTH LAKE TAHOE
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State | CA
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Zip | 96156
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Country | US
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Telephone | 530-542-0480
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 173 3250 MARLETTE CIRCLE
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City | SOUTH LAKE TAHOE
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State | CA
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Zip | 96156
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Country | US
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Telephone | 530-542-0480
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Fax |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ATE20131
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License Number State | CA
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