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General NPI Number Information
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NPI Number | 1871939819
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Entity Type | Individual
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Provider Name | BENSON GEORGE D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2013
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER BLVD
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City | CHESTER
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State | PA
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Zip | 19013-3902
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Country | US
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Telephone | 610-874-6448
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Fax | 610-876-7399
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Provider Business Mailing Address
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Address Line | 286 BIRCHWOOD PARK DR
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City | JERICHO
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State | NY
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Zip | 11753-2307
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Country | US
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Telephone | 516-647-6316
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS019811
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License Number State | PA
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