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1396635462 NPI number — BENI W DRISKELL LMT

NPI Number: 1396635462
Health Care Provider/Practitioner: BENI W DRISKELL LMT

Information about “1396635462” NPI (BENI W DRISKELL LMT) exists in 1396635462 in HTML format HTML  |  1396635462 in plain Text format TXT  |  1396635462 in PDF (Portable Document Format) PDF  |  1396635462 in an XML format XML  formats.

NPI Number : 1396635462 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396635462",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DRISKELL",
    "FirstName": "BENI",
    "MiddleName": "W",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3851 ADAMS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILTON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32571-9326",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-463-6033",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5599 STEWART ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILTON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32570-4344",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-226-9454",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/08/2025",
    "LastUpdateDate": "07/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "MA94561",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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