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General NPI Number Information
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NPI Number | 1750369146
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Entity Type | Individual
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Provider Name | KENT STUART BENNETT DO, PHARMD, MPH
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Gender | Male
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 3990 E BROAD ST BUILDING 20 A POD, ROOM 143-S
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City | COLUMBUS
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State | OH
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Zip | 43213-1152
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Country | US
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Telephone | 614-692-7145
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Fax | 614-692-4816
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Provider Business Mailing Address
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Address Line | 3990 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43213-1152
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Country | US
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Telephone | 614-692-7145
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Fax | 614-692-4816
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 34.010507
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208U00000X
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Taxonomy Name | Clinical Pharmacology Physician
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License Number | 02002509A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 34.010507
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License Number State | OH
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