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General NPI Number Information
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NPI Number | 1962618751
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Entity Type | Individual
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Provider Name | BENJAMIN RENTFROW DO
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 2900 LAMB CIR STE 380
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-6345
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Country | US
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Telephone | 540-510-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 25823 CLINTON SHORE DR
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City | HARRISON TWP
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State | MI
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Zip | 48045-1501
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 5101016918
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License Number State | MI
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