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General NPI Number Information
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NPI Number | 1184800948
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Entity Type | Individual
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Provider Name | DELANO BENJAMIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | 1480 FORESTDALE BLVD
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City | FORESTDALE
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State | AL
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Zip | 35214-3034
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Country | US
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Telephone | 205-820-9050
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Fax | 205-820-9060
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Provider Business Mailing Address
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Address Line | 1480 FORESTDALE BLVD
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City | FORESTDALE
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State | AL
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Zip | 35214-3034
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Country | US
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Telephone | 205-820-9050
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Fax | 205-820-9060
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | MD.24889
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License Number State | AL
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