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General NPI Number Information
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NPI Number | 1891862207
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Entity Type | Individual
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Provider Name | KIMBERLY A BENSON M.S.P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | WALTER REED ARMY MEDICAL CTR 6900 GEORGIA AVE., NW
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City | WASHINGTON
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State | DC
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Zip | 20307-0001
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Country | US
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Telephone | 703-283-2955
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CHARLES PLZ APT 1004
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City | BALTIMORE
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State | MD
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Zip | 21201-4201
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Country | US
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Telephone | 703-283-2955
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 21908
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License Number State | MD
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