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General NPI Number Information
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NPI Number | 1629028584
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Entity Type | Individual
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Provider Name | STUART BENSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 808 S 52ND ST STE 201
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City | ROGERS
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State | AR
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Zip | 72758-8602
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Country | US
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Telephone | 479-319-6009
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Fax | 479-319-6140
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Provider Business Mailing Address
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Address Line | 2526 S PINNACLE HILLS PKWY
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City | ROGERS
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State | AR
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Zip | 72758-8939
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Country | US
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Telephone | 479-319-6009
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Fax | 479-319-6140
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N8033
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License Number State | AR
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