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General NPI Number Information
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NPI Number | 1972506103
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Entity Type | Individual
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Provider Name | RICHARD DAVID BENSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 400 SHADOWLINE DR SUITE 101
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City | BOONE
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State | NC
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Zip | 28607-5089
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Country | US
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Telephone | 828-263-8707
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Fax | 828-263-8710
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Provider Business Mailing Address
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Address Line | 400 SHADOWLINE DR SUITE 101
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City | BOONE
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State | NC
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Zip | 28607-5089
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Country | US
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Telephone | 828-263-8707
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Fax | 828-263-8710
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 33941
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License Number State | NC
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