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General NPI Number Information
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NPI Number | 1083225676
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Entity Type | Individual
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Provider Name | BENJY JOSE
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Gender | Female
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 6336 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-7812
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Country | US
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Telephone | 407-259-2383
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Fax | 407-630-6884
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 321-332-6947
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Fax | 407-286-4515
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11009265
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License Number State | FL
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