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General NPI Number Information
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NPI Number | 1700722402
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Entity Type | Individual
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Provider Name | AMANDA JEAN BENZINGER APRN
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Gender | Female
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 41 GERMANTOWN RD STE 101
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City | DANBURY
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State | CT
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Zip | 06810-4087
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Country | US
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Telephone | 203-794-5680
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Fax |
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Provider Business Mailing Address
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Address Line | 12 DURGY LN
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City | SHERMAN
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State | CT
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Zip | 06784-2412
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Country | US
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Telephone | 203-648-0106
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 158483
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License Number State | CT
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