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Dr. Richard David Benson

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NPI Number Detailed Information

Provider Information:

Name: Dr. Richard David Benson
Gender: M
Provider License Number If Given: 33941

NPI Information:

NPI: 1972506103
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 11/19/2014

Provider Business Mailing Address:

Address: 400 SHADOWLINE DR SUITE 101
Boone, NC 28607
Phone Number: 8282638707
Fax Number: 8282638710

Provider Business Practice Location Address:

Address: 400 SHADOWLINE DR SUITE 101
Boone, NC 28607
Phone Number: 8282638707
Fax Number: 8282638710

Provider Taxonomy:

Primary: 207RN0300X
Secondary (if any):
State: NC

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