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General NPI Number Information
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NPI Number | 1861447344
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Entity Type | Individual
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Provider Name | OLA MARIE BENZ CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 3320 OLD JEFFERSON RD
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City | ATHENS
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State | GA
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Zip | 30607-1400
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Country | US
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Telephone | 706-613-1625
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Fax |
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Provider Business Mailing Address
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Address Line | 1895 VINTAGE PL
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City | WATKINSVILLE
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State | GA
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Zip | 30677-5820
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Country | US
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Telephone | 404-308-8859
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN106701
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024131618
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License Number State | VA
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