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General NPI Number Information
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NPI Number | 1124995626
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Entity Type | Individual
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Provider Name | OSCAR ALEJANDRO BENITEZ FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1698 E MCANDREWS RD STE 280
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City | MEDFORD
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State | OR
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Zip | 97504-5590
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Country | US
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Telephone | 541-204-1699
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Fax | 971-471-5205
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Provider Business Mailing Address
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Address Line | PO BOX 31001
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City | PASADENA
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State | CA
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Zip | 91110-4180
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Country | US
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Telephone | 541-204-1699
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Fax | 971-471-5205
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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 | 1005220
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License Number State | OR
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