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General NPI Number Information
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NPI Number | 1679367668
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Entity Type | Individual
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Provider Name | CHANTA BENJAMIN BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 23 THOROUGHBRED DR
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City | HAMPTON
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State | VA
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Zip | 23666-5320
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Country | US
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Telephone | 757-344-9789
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Fax |
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Provider Business Mailing Address
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Address Line | 23 THOROUGHBRED DR
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City | HAMPTON
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State | VA
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Zip | 23666-5320
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Country | US
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Telephone |
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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 | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 0001271735
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 0001271735
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001271735
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 0001271735
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License Number State | VA
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