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NPI Code Detail

MEDICARE: AMY N BENNETT DO

MEDICARE: AMY N BENNETT DO
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
1207R00000XInternal Medicine Physician34.016437OH

General Provider Information

NPI Number : 1508327271
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY N BENNETT DO
Provider Business Mailing Address
First Line : 7707 PARAGON RD
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-4041
Country : US
Telephone Number : 937-208-6920
Fax Number :
Provider Business Practice Location Address
First Line : 7707 PARAGON RD
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-4041
Country : US
Telephone Number : 937-208-6920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2019
Last Update Date : 04/13/2026

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Directions to “ AMY N BENNETT DO” Practice Location

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