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NPI 1295229276

NPI 1295229276 : BENJAMIN NEWCOMB MD PHD : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1295229276
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    Entity Type          |    Individual 
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    Provider Name        |    BENJAMIN NEWCOMB MD PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/21/2018
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    Last Update Date     |    09/10/2025
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Provider Practice Location Address
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    Address Line         |    3300 NW EXPRESSWAY 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73112-4418
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    Country              |    US
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    Telephone            |    405-945-5215
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    Fax                  |    405-713-2794
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Provider Business Mailing Address
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    Address Line         |    3001 QUAIL SPRINGS PKWY FL 5 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73134-2640
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    Country              |    US
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    Telephone            |    405-945-5215
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    Fax                  |    405-713-2794
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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       |    44027
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    License Number State |    OK
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    44027
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    License Number State |    OK
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