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General NPI Number Information
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NPI Number | 1043405640
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Entity Type | Organization
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Legal Business Name | ELDAD S. BENMEN M.D. P.C
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 26021 UNION TPKE
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City | GLEN OAKS
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State | NY
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Zip | 11004-1345
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Country | US
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Telephone | 718-347-4288
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Fax | 718-347-7521
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Provider Business Mailing Address
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Address Line | 26021 UNION TPKE
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City | GLEN OAKS
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State | NY
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Zip | 11004-1345
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Country | US
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Telephone | 718-347-4288
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Fax | 718-347-7521
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELDAD S. BENMEN
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Credential | M.D.
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Telephone | 718-347-4288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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