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General NPI Number Information
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NPI Number | 1982905444
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Entity Type | Individual
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Provider Name | BENJAMIN P SEXTON PA
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Gender | Male
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 2523 E HUNTSVILLE RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72701
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Country | US
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Telephone | 479-442-2822
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Fax | 479-582-1754
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Provider Business Mailing Address
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Address Line | PO BOX 1523
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City | FAYETTEVILLE
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State | AR
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Zip | 72702-1523
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Country | US
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Telephone | 479-571-6038
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Fax | 479-582-0222
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA-436
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License Number State | AR
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