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General NPI Number Information
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NPI Number | 1205225794
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Entity Type | Individual
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Provider Name | BENJAMIN SOFFER DO
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Gender | Male
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Dates
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Enumeration Date | 01/21/2015
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Last Update Date | 12/17/2023
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Provider Practice Location Address
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Address Line | 2901 CLINT MOORE RD # 5060
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City | BOCA RATON
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State | FL
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Zip | 33496-2041
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Country | US
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Telephone | 561-468-6981
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Fax | 561-709-4606
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Provider Business Mailing Address
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Address Line | 2901 CLINT MOORE RD # 5060
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City | BOCA RATON
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State | FL
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Zip | 33496-2041
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Country | US
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Telephone | 561-468-6981
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Fax | 561-709-4606
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS13821
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License Number State | FL
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