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General NPI Number Information
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NPI Number | 1003164104
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Entity Type | Organization
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Legal Business Name | BENJAMIN AND BLANK LLC
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 6200 SW 73RD ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4679
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Country | US
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Telephone | 786-662-8400
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Fax | 786-662-5314
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Provider Business Mailing Address
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Address Line | 6200 SW 73RD ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4679
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Country | US
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Telephone | 786-662-8400
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Fax | 786-662-5314
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Authorized Official
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Title or Position | MEMBER
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Name | RODNEY BENJAMIN
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Credential | MD
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Telephone | 786-662-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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