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Individual
ANNETTE LOUISE BENNETT-BURNETT
Active
Individual
ANNETTE LOUISE BENNETT-BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29899
SC
207R00000X
Internal Medicine Physician
LL29899
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861691487
NPI
SC
05
—
298993
—
SC
01
—
DQ5333
RAILROAD MEDICARE
SC
05
—
GP0077
—
SC
05
—
GP5407
—
SC
01
—
P01505879
RAILROAD MEDICARE
SC
Enumeration date
07/13/2007
Last updated
11/25/2020
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