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General NPI Number Information
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NPI Number | 1992889612
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Entity Type | Individual
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Provider Name | JOSEPH K. BENNET MD
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 2420 S UNION AVE, SUITE 120
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City | TACOMA
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State | WA
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Zip | 98405-1322
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Country | US
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Telephone | 253-954-3354
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Fax |
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Provider Business Mailing Address
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Address Line | 2420 S UNION AVE SUITE 120
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City | TACOMA
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State | WA
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Zip | 98405-1322
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Country | US
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Telephone | 253-954-3354
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 23263
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35C.000345
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00034685
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | CDR.0002403
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K3987
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 68890
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD00034685
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 46081
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License Number State | OK
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