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General NPI Number Information
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NPI Number | 1932264215
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Entity Type | Individual
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Provider Name | THOMAS CHARLES BENFIELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1015 CHESTNUT ST STE 1013
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4316
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Country | US
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Telephone | 215-592-1223
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Fax | 215-592-4644
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Provider Business Mailing Address
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Address Line | 19 KIRKDALE DR
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City | MARLTON
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State | NJ
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Zip | 08053-2519
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Country | US
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Telephone | 856-596-0835
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD021016E
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License Number State | PA
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