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General NPI Number Information
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NPI Number | 1043754575
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Entity Type | Organization
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Legal Business Name | BEN-KANE, LLC
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 3470 E COAST AVE SUITE 2005
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City | MIAMI
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State | FL
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Zip | 33137-4229
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Country | US
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Telephone | 305-781-2662
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Fax |
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Provider Business Mailing Address
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Address Line | 3470 E COAST AVE SUITE 2005
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City | MIAMI
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State | FL
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Zip | 33137-4229
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Country | US
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Telephone | 305-781-2662
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSANNE BEN-KANE
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Credential | M.D.
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Telephone | 305-781-2662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME125973
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License Number State | FL
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