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General NPI Number Information
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NPI Number | 1124192943
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Entity Type | Individual
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Provider Name | BENJAMIN H MASSEY MD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 25 MONTEBELLO RD
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City | PUEBLO
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State | CO
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Zip | 81001-1236
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Country | US
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Telephone | 719-544-1600
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Fax | 719-544-2599
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Provider Business Mailing Address
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Address Line | PO BOX 9416
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City | PUEBLO
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State | CO
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Zip | 81008-9416
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Country | US
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Telephone | 719-546-0557
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Fax | 719-546-0557
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25593
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | CDRH.0025593
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License Number State | CO
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