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NPI Code Detail

MEDICARE: MS. DENISE L BENJAMIN ATC, PA-C

MEDICARE: MS. DENISE L BENJAMIN ATC, PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAT001232OH
2363A00000XPhysician Assistant004174OH

General Provider Information

NPI Number : 1528270485
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DENISE L BENJAMIN ATC, PA-C
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 800-223-2273
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 800-223-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 12/24/2025

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