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General NPI Number Information
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NPI Number | 1699754408
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Entity Type | Individual
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Provider Name | PAUL FRANK BENOIT DDS
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Gender | Male
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 523 KIRKLAND WAY
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City | KIRKLAND
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State | WA
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Zip | 98033-6219
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Country | US
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Telephone | 425-822-3505
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Fax | 425-822-1134
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Provider Business Mailing Address
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Address Line | 523 KIRKLAND WAY
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City | KIRKLAND
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State | WA
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Zip | 98033-6219
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Country | US
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Telephone | 425-822-3505
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Fax | 425-822-1134
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00005890
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License Number State | WA
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