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General NPI Number Information
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NPI Number | 1992993877
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Entity Type | Individual
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Provider Name | LAURA GAYE BENISH D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 475 WHITE PLAINS RD SUITE 24
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City | EASTCHESTER
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State | NY
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Zip | 10709-5537
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Country | US
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Telephone | 914-961-5050
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Fax | 914-961-0641
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Provider Business Mailing Address
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Address Line | 475 WHITE PLAINS RD SUITE 24
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City | EASTCHESTER
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State | NY
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Zip | 10709-5537
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Country | US
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Telephone | 914-961-5050
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Fax | 914-961-0641
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 039878
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License Number State | NY
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