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1467554634
GEORGE EDWARD BENEDICT
PROVIDENCE, RI
NPI
1467554634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
Mr. GEORGE EDWARD BENEDICT M.A.
PROVIDENCE VAMC 830 CHALKSTONE AVENUE
PROVIDENCE, RI 02908-4799
Phone number: 401-271-7300
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Mailing Address
Mr. GEORGE EDWARD BENEDICT M.A.
3595 POST RD APT # 16105
WARWICK, RI 02886-7078
Phone number: 401-737-5404
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