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Individual
NATHAN L BENNETT
Active
Individual
NATHAN L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-047370L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014142810007
—
PA
01
—
080183885
RAILROAD MEDICARE PTAN
PA
Enumeration date
01/25/2006
Last updated
06/24/2025
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