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General NPI Number Information
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NPI Number | 1316010879
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Entity Type | Individual
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Provider Name | RAMON A BENCOSME MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | CARR. 10 MORELL CAMPOS LOCAL 4 PLAZOLETA CASH AND CARRY
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City | PONCE
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State | PR
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Zip | 00732
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Country | US
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Telephone | 787-812-3193
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Fax |
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Provider Business Mailing Address
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Address Line | PLAZOLETA CASH AND CARRY MORELL CAMPOS #4 627
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City | PONCE
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State | PR
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Zip | 00732
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Country | US
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Telephone | 787-812-3193
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 8424
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License Number State | PR
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