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NPI Code Detail

MEDICARE: COLLEEN LYNNE BENSINGER ATC

MEDICARE: COLLEEN LYNNE BENSINGER ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerRT0003805PA

General Provider Information

NPI Number : 1295872950
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN LYNNE BENSINGER ATC
Provider Business Mailing Address
First Line : 2442 MAIN ST
Second Line :
City : NARVON
State : PA
Zip : 17555-9715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2442 MAIN ST
Second Line :
City : NARVON
State : PA
Zip : 17555-9715
Country : US
Telephone Number : 610-781-2177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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