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General NPI Number Information
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NPI Number | 1912492067
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Entity Type | Organization
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Legal Business Name | BENTON PROPERTY MANAGEMENT CO., LLC
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 06/29/2018
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Provider Practice Location Address
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Address Line | 49 EASTON AVE
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City | BUFFALO
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State | NY
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Zip | 14215-3317
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Country | US
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Telephone | 716-717-6155
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Fax | 716-831-0482
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Provider Business Mailing Address
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Address Line | 49 EASTON AVE
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City | BUFFALO
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State | NY
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Zip | 14215-3317
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Country | US
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Telephone | 716-717-6155
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Fax | 716-831-0482
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Authorized Official
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Title or Position | EMPLOYEE
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Name | DORETHEA FRANKLIN
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Credential | BS, MS
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Telephone | 716-717-6155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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