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General NPI Number Information
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NPI Number | 1952303091
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Entity Type | Individual
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Provider Name | ROSEMARY A. BENJAMIN BS, DC
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Gender | Female
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | POB 289 114 S. 2ND ST.
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City | FOWLERVILLE
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State | MI
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Zip | 48836
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Country | US
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Telephone | 517-223-9900
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Fax | 517-223-9900
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Provider Business Mailing Address
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Address Line | 114 SOUTH SECOND STREET PO BOX 289
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City | FOWLERVILLE
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State | MI
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Zip | 48836-0289
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Country | US
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Telephone | 517-223-9900
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Fax | 517-223-9900
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | RP005319
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License Number State | MI
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