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General NPI Number Information
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NPI Number | 1033198783
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Entity Type | Individual
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Provider Name | JOHN ALBION BENSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER
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City | HONOLULU
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State | HI
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Zip | 96859-5000
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Country | US
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Telephone | 808-433-8850
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Fax |
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Provider Business Mailing Address
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Address Line | 199 EUCALYPTUS PL #102
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City | HONOLULU
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State | HI
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Zip | 96818-1269
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Country | US
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Telephone | 808-256-6082
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD069766L
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License Number State | PA
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