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General NPI Number Information
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NPI Number | 1699783753
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Entity Type | Individual
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Provider Name | ARNOLD EMERY BENAK JR. DMD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 317 FLANDERS RD SUITES 204-205
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City | EAST LYME
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State | CT
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Zip | 06333-1711
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Country | US
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Telephone | 860-739-5700
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Fax | 860-739-5279
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Provider Business Mailing Address
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Address Line | 1 PEPPERBOX RD
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City | WATERFORD
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State | CT
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Zip | 06385-3511
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Country | US
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Telephone | 860-287-4400
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Fax | 860-287-4400
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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 | 6619
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6190
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License Number State | CT
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