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General NPI Number Information
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NPI Number | 1043376890
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Entity Type | Individual
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Provider Name | BENJAMIN CHARLES EPSTEIN D.O., M.A.
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 1924 US HIGHWAY 441 N
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1922
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Country | US
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Telephone | 863-357-0540
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Fax | 863-357-0546
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Provider Business Mailing Address
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Address Line | 1924 US HIGHWAY 441 N
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1922
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Country | US
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Telephone | 863-357-0540
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Fax | 863-357-0546
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | OS10817
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | OS10817
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS10817
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License Number State | FL
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