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General NPI Number Information
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NPI Number | 1629177720
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Entity Type | Individual
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Provider Name | BENEDICTE H HANQUET PT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 10435 CLAYTON RD SUITE 10
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2931
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Country | US
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Telephone | 314-442-6249
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Fax | 314-787-5949
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Provider Business Mailing Address
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Address Line | 10435 CLAYTON RD SUITE 10
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2931
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Country | US
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Telephone | 314-442-6249
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Fax | 314-787-5949
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070009347
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2010032303
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License Number State | MO
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