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Individual
MR. DAVID P BENNETT
Active
Individual
MR. DAVID P BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
829530
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1107084
TX
Other
Enumeration date
04/20/2022
Last updated
01/12/2023
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