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General NPI Number Information
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NPI Number | 1639803729
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Entity Type | Individual
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Provider Name | ALLISON E BENSON RN
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Gender | Female
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 1316 CALLE ADELANTE
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City | ESPANOLA
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State | NM
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Zip | 87532-3464
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Country | US
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Telephone | 505-929-4555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1053
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City | ALCALDE
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State | NM
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Zip | 87511-1053
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Country | US
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Telephone | 505-929-4555
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 59524
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WR1000X
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Taxonomy Name | Reproductive Endocrinology/Infertility Registered Nurse
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License Number | 59524
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 163WX0106X
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Taxonomy Name | Occupational Health Registered Nurse
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License Number | 59524
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 163WX1500X
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Taxonomy Name | Ostomy Care Registered Nurse
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License Number | 59524
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 59524
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License Number State | NM
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