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Individual

DR. JAMES E BENEDICT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

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
05
0578754
OH
01
193565
UNISON
01
480002970
MDICARE RAILROAD
OH
01
Q017158
HOMETOWN
Enumeration date
10/31/2005
Last updated
12/01/2009
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