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General NPI Number Information
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NPI Number | 1821787953
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Entity Type | Individual
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Provider Name | BENJAMIN PADGETT
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Gender | Male
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 5050 MADISON RD
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City | CINCINNATI
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State | OH
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Zip | 45227-1491
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Country | US
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Telephone | 513-272-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 66 WOODSTOCK DR
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City | FAIRFIELD
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State | OH
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Zip | 45014-5220
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Country | US
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Telephone | 256-763-1908
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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