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General NPI Number Information
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NPI Number | 1376104869
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Entity Type | Individual
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Provider Name | JAMES RICHARD BENKE DO
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Gender | Male
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 520 UPPER CHESAPEAKE DR STE 201
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City | BEL AIR
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State | MD
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Zip | 21014-4360
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Country | US
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Telephone | 410-598-8188
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Fax |
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Provider Business Mailing Address
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Address Line | 520 UPPER CHESAPEAKE DR STE 201
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City | BEL AIR
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State | MD
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Zip | 21014-4360
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Country | US
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Telephone | 443-643-3800
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Fax | 443-643-3856
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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 | 5151013716
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | H0104268
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5151013716
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License Number State | MI
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