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General NPI Number Information
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NPI Number | 1043650872
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Entity Type | Organization
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Legal Business Name | BENJAMIN J COUSINS, M.D. P.A.
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 4308 ALTON RD STE 720
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City | MIAMI BEACH
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State | FL
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Zip | 33140-4557
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Country | US
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Telephone | 786-637-3332
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Fax | 866-567-1980
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Provider Business Mailing Address
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Address Line | 4308 ALTON RD STE 720
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City | MIAMI BEACH
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State | FL
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Zip | 33140-4557
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Country | US
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Telephone | 786-637-3332
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Fax | 866-537-1980
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN COUSINS
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Credential | MD
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Telephone | 786-637-3332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME115543
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State | FL
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