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General NPI Number Information
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NPI Number | 1952578411
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Entity Type | Individual
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Provider Name | DAVID ANDREW BENSON DDS, MD
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Gender | Male
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 2680 S VAL VISTA DR STE 164
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City | GILBERT
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State | AZ
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Zip | 85295-1638
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Country | US
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Telephone | 480-855-3223
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Fax | 480-855-1229
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Provider Business Mailing Address
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Address Line | 560 E RAVEN CT
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City | GILBERT
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State | AZ
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Zip | 85297-1207
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Country | US
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Telephone | 318-426-0379
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D008709
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License Number State | AZ
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