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General NPI Number Information
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NPI Number | 1750492252
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Entity Type | Individual
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Provider Name | ROBIN C BENNETT DDS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 926 FRANKLIN BLVD
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City | LEMOORE
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State | CA
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Zip | 93246-4500
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Country | US
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Telephone | 559-998-4215
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Fax |
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Provider Business Mailing Address
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Address Line | 3184 PIKE PLZ
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City | LEMOORE
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State | CA
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Zip | 93245-2234
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Country | US
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Telephone | 414-339-8233
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6046-15
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6046
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License Number State | WI
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