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NPI Code Detail

MEDICARE: MRS. SHARON A BENSON

MEDICARE:  MRS. SHARON A BENSON
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
1174400000XSpecialist0041AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1622705OTHERAZAHCCCS PROVIDER NUMBER

General Provider Information

NPI Number : 1942311493
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON A BENSON
Provider Business Mailing Address
First Line : 15002 N 32ND ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-4441
Country : US
Telephone Number : 602-867-5223
Fax Number :
Provider Business Practice Location Address
First Line : 15002 N 32ND ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-4441
Country : US
Telephone Number : 602-867-5223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. SHARON A BENSON ” Practice Location

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