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General NPI Number Information
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NPI Number | 1760542104
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Entity Type | Organization
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Legal Business Name | WILLIAM E. BENNETT, M.D. P.A
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 12/18/2015
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Provider Practice Location Address
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Address Line | 325 C KENNEDY MEMORIAL DRIVE
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City | WATERVILLE
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State | ME
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Zip | 04901
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Country | US
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Telephone | 207-872-9511
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Fax | 207-861-5466
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Provider Business Mailing Address
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Address Line | 325 C KENNEDY MEMORIAL DRIVE
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City | WATERVILLE
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State | ME
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Zip | 04901
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Country | US
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Telephone | 207-872-9511
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Fax | 207-861-5466
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. WILLIAM EDDY BENNETT
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Credential | M.D.
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Telephone | 207-872-9511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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