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General NPI Number Information
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NPI Number | 1770988065
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Entity Type | Individual
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Provider Name | BENJAMIN FERGUSON HCP
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Gender | Male
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 952 COMMERCIAL DR
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City | RICHMOND
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State | KY
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Zip | 40475-3402
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Country | US
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Telephone | 859-624-5830
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Fax | 513-433-0131
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Provider Business Mailing Address
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Address Line | 952 COMMERCIAL DR
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City | RICHMOND
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State | KY
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Zip | 40475-3402
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Country | US
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Telephone | 859-624-5830
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Fax | 513-433-0131
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 12-16
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1003
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License Number State | WV
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