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General NPI Number Information
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NPI Number | 1063665495
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Entity Type | Organization
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Legal Business Name | BENJAMINO L GRANATO
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 6415 BANDERA
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City | SAN ANTONIO
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State | TX
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Zip | 78238
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Country | US
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Telephone | 210-785-9959
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Fax | 210-785-9868
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Provider Business Mailing Address
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Address Line | P.O. BOX 761801
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City | SAN ANTONIO
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State | TX
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Zip | 78245
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Country | US
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Telephone | 210-521-5884
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Fax | 210-521-0074
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Authorized Official
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Title or Position | OWNER
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Name | MR. BENJAMINO L GRANATO
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Credential |
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Telephone | 210-521-5884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TX
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