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General NPI Number Information
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NPI Number | 1952410730
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Entity Type | Individual
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Provider Name | HELEN H BENNETT PA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 1951 CLAIRMONT RD
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City | DECATUR
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State | GA
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Zip | 30033-3415
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Country | US
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Telephone | 404-321-4600
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Fax | 404-320-0987
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Provider Business Mailing Address
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Address Line | 4285 JOHNS CREEK PKWY SUITE A
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City | SUWANEE
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State | GA
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Zip | 30024-6038
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Country | US
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Telephone | 770-622-4412
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Fax | 770-622-4191
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 003437
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License Number State | GA
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