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General NPI Number Information
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NPI Number | 1083439053
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Entity Type | Organization
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Legal Business Name | BENGICARE
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 3330 N 65TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2003
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Country | US
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Telephone | 954-889-8539
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 N 65TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2003
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Country | US
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Telephone | 954-889-8539
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MOSHE BENGIO
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Credential | DO
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Telephone | 954-998-8539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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