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General NPI Number Information
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NPI Number | 1629297726
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Entity Type | Organization
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Legal Business Name | ROBERT J. BENKE, D.D.S., P.C.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3705 W 12TH ST STE 3C
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City | GREELEY
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State | CO
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Zip | 80634-2550
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Country | US
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Telephone | 970-356-2120
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Fax | 970-356-1013
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Provider Business Mailing Address
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Address Line | 3705 W 12TH ST STE 3C
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City | GREELEY
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State | CO
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Zip | 80634-2550
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Country | US
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Telephone | 970-356-2120
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Fax | 970-356-1013
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ROBERT JOHN BENKE
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Credential | DDS
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Telephone | 970-356-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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