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General NPI Number Information
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NPI Number | 1962463620
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Entity Type | Organization
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Legal Business Name | BENHAVEN EMERGENCY SERVICES INC.
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 722 BARBECUE CHURCH RD
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City | SANFORD
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State | NC
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Zip | 27332-2255
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Country | US
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Telephone | 919-499-9611
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N 13TH ST STE. 19A
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City | ERWIN
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State | NC
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Zip | 28339-1700
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Country | US
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Telephone | 910-893-7563
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Fax | 910-814-2570
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Authorized Official
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Title or Position | CHIEF
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Name | RICHARD SWANN
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Credential |
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Telephone | 919-499-9611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1287
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License Number State | NC
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