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General NPI Number Information
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NPI Number | 1285977512
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Entity Type | Individual
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Provider Name | CAMILO BENITEZ D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 3940 RADIO RD STE 104
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City | NAPLES
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State | FL
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Zip | 34104-3740
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Country | US
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Telephone | 239-300-9722
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Fax | 239-399-3816
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Provider Business Mailing Address
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Address Line | 5171 CORAL WOOD DR
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City | NAPLES
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State | FL
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Zip | 34119-1455
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Country | US
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Telephone | 347-581-7018
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Fax |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 006791
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO4280
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License Number State | FL
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