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General NPI Number Information
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NPI Number | 1356384606
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Entity Type | Individual
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Provider Name | JORGE BENITO MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE STE 600
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4728
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Country | US
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Telephone | 786-718-7073
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Fax | 305-709-6058
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Provider Business Mailing Address
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Address Line | 10798 SW 43RD LN
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City | MIAMI
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State | FL
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Zip | 33165-4857
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Country | US
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Telephone | 786-718-7073
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Fax | 305-709-6058
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME 62660
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License Number State | FL
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