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General NPI Number Information
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NPI Number | 1356903298
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Entity Type | Organization
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Legal Business Name | BENJAMIN R DEATON MD INC.
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 7468 MUIRWOOD CT
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City | PLEASANTON
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State | CA
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Zip | 94588-4232
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Country | US
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Telephone | 303-801-7877
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Fax |
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Provider Business Mailing Address
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Address Line | 7172 REGIONAL ST # 317
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City | DUBLIN
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State | CA
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Zip | 94568-2324
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. BENJAMIN R DEATON
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Credential | MD
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Telephone | 303-801-7877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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