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Individual
REGINA M BENNETT
Active
Individual
REGINA M BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
227601
GA
363LF0000X
Family Nurse Practitioner
332949
NY
363LF0000X
Family Nurse Practitioner
Primary
ARNP1220062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308463900
—
FL
Enumeration date
10/12/2005
Last updated
03/05/2015
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