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Organization
BENEDICT PODIATRY GROUP
Active
Organization
BENEDICT PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E BENEDICT D.P.M. (OWNER)
(330) 673-3505
Entity
Organization
Contact information
Practice address
1627 E MAIN ST, KENT, OH 44240-2875
(330) 673-3505
(330) 673-4888
Mailing address
1627 E MAIN ST, KENT, OH 44240-2875
(330) 673-3505
(330) 673-4888
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136887
ANTHEM
OH
01
—
193565
UNISON
OH
05
—
2922074
—
OH
01
—
480002970
MEDICARE RAILROAD
OH
01
—
Q017158
HOMETOWN
OH
Enumeration date
11/02/2007
Last updated
12/01/2009
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