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General NPI Number Information
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NPI Number | 1033048335
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Entity Type | Organization
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Legal Business Name | BENEVOLENT CARE SERVICES LLC
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 15847 DOVE HOLLOW DR
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City | CONROE
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State | TX
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Zip | 77302-2321
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Country | US
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Telephone | 304-207-7701
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Fax |
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Provider Business Mailing Address
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Address Line | 15847 DOVE HOLLOW DR
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City | CONROE
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State | TX
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Zip | 77302-2321
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Country | US
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Telephone | 304-207-7701
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Fax |
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Authorized Official
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Title or Position | DIRECTOR FOR CLINICAL OPERATIONS
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Name | KRIS RODEL BORJA
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Credential | FNP-BC
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Telephone | 304-207-7701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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