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General NPI Number Information
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NPI Number | 1679746598
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Entity Type | Organization
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Legal Business Name | BENNETT AND ASSOCIATES
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 11500 RUBY RD
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9579
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Country | US
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Telephone | 740-502-6487
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Fax | 740-439-8471
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Provider Business Mailing Address
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Address Line | 11500 RUBY RD
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9579
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Country | US
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Telephone | 740-502-6487
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Fax | 740-439-8471
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Authorized Official
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Title or Position | PRESIDENT/TECHNICAL DIRECTOR
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Name | DR. JOHN B BENNETT III
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Credential | PH.D.,R.V.T.
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Telephone | 740-502-6487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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