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General NPI Number Information
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NPI Number | 1245393982
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Entity Type | Organization
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Legal Business Name | JEOFFREY P BENSON MD INC
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Dates
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Enumeration Date | 12/17/2006
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 504 W PUEBLO ST SUITE 301
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City | SANTA BARBARA
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State | CA
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Zip | 93105-6211
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Country | US
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Telephone | 805-682-5520
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Fax | 805-682-1632
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Provider Business Mailing Address
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Address Line | PO BOX 30733
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City | SANTA BARBARA
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State | CA
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Zip | 93130-0733
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Country | US
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Telephone | 805-682-5520
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Fax | 805-682-1632
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Authorized Official
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Title or Position | CEO
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Name | DR. JEOFFREY P BENSON
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Credential | M.D.
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Telephone | 805-682-5520
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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 | G58983
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License Number State | CA
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