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General NPI Number Information
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NPI Number | 1972281061
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Entity Type | Individual
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Provider Name | MARCELLA BENSON
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Gender | Female
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/15/2023
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Provider Practice Location Address
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Address Line | 6198 AMBLESIDE DR APT D
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City | COLUMBUS
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State | OH
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Zip | 43229-1986
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Country | US
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Telephone | 220-246-2555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14171
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City | COLUMBUS
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State | OH
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Zip | 43214-0171
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Country | US
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Telephone | 614-591-2557
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | OH
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