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General NPI Number Information
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NPI Number | 1033272869
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Entity Type | Organization
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Legal Business Name | SAMUEL E BENSON III
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 417 E CEDAR AVE STE I
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City | MCALLEN
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State | TX
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Zip | 78501-8729
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Country | US
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Telephone | 956-457-8343
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Fax | 610-401-2101
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Provider Business Mailing Address
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Address Line | 2205 W JACKSON AVE
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City | MCALLEN
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State | TX
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Zip | 78501-7244
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Country | US
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Telephone | 956-457-8343
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Fax | 610-401-2101
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Authorized Official
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Title or Position | OWNER / OPERATOR
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Name | MR. SAMUEL EDWARD BENSON III
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Credential | EMT
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Telephone | 956-457-8343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 800218
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3416S0300X
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Taxonomy Name | Water Ambulance
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | TX
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