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General NPI Number Information
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NPI Number | 1801296843
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Entity Type | Organization
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Legal Business Name | STEPHEN S. BENHAM,MDPC
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 41A DELAWARE AVE
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City | SIDNEY
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State | NY
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Zip | 13838-1336
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Country | US
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Telephone | 607-563-7477
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Fax | 607-563-7479
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Provider Business Mailing Address
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Address Line | 41A DELAWARE AVE
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City | SIDNEY
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State | NY
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Zip | 13838-1336
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. MARGO L BENHAM
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Credential |
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Telephone | 607-563-7477
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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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