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Individual
WILLIAM BENNETT
Active
Individual
WILLIAM BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007873
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000948
ANTHEM
—
05
—
135660099
—
ME
01
—
M53261
CIGNA
—
01
—
P00223084
RAILROAD MEDICARE
—
Enumeration date
12/08/2006
Last updated
04/07/2008
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