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General NPI Number Information
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NPI Number | 1366497430
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Entity Type | Individual
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Provider Name | RAYMOND LOUIS BENZA MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 600 GRESHAM DR
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-388-3934
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Fax | 757-388-2957
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Provider Business Mailing Address
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Address Line | 600 GRESHAM DR
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-388-3934
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Fax | 757-388-2957
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 189292
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 0101285991
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101285991
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License Number State | VA
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