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Individual
TRACY M BENEDICT
Active
Individual
TRACY M BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003344
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00049422
BLUE CROSS BLUE SHIELD
VT
01
—
43V143
MVP HEALTH CARE
—
01
—
650020252
RAILROAD MC
—
05
—
OVN2283
—
VT
Enumeration date
08/28/2006
Last updated
05/07/2026
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