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Individual
PAULA RICKARD BENNETT
Active
Individual
PAULA RICKARD BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD036509E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001151420
—
PA
01
—
002308
FIRST PRIORITY HEALTH PIN
—
05
—
01128981
—
NY
01
—
51467
GEISINGER HEALTH PLAN PIN
—
Enumeration date
04/03/2006
Last updated
11/06/2009
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