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General NPI Number Information
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NPI Number | 1366933186
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Entity Type | Individual
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Provider Name | BENJAMIN ABNEY MD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 200 MERCY CIRCLE
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City | OCEANSIDE
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State | CA
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Zip | 92055
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Country | US
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Telephone | 760-725-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 305 E AVENIDA SAN JUAN
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-2327
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Country | US
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Telephone | 609-321-3503
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | MD477895
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD477895
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License Number State | PA
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