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General NPI Number Information
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NPI Number | 1811216518
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Entity Type | Individual
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Provider Name | ERWIN BENNETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 6007 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-4008
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Country | US
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Telephone | 334-274-9000
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Fax | 334-274-0857
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Provider Business Mailing Address
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Address Line | 4294 LOMAC ST
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City | MONTGOMERY
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State | AL
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Zip | 36106-3604
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Country | US
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Telephone | 334-274-9000
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Fax | 334-274-0857
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD 35119
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License Number State | AL
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