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General NPI Number Information
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NPI Number | 1437615291
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Entity Type | Organization
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Legal Business Name | BENCHMARK WELLNESS CLINIC PLLC
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Dates
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Enumeration Date | 02/18/2019
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 510 VICTORIA LN STE 1
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City | HARLINGEN
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State | TX
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Zip | 78550-3231
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Country | US
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Telephone | 956-428-7862
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Fax | 956-440-0395
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Provider Business Mailing Address
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Address Line | PO BOX 532201
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City | HARLINGEN
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State | TX
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Zip | 78553-2201
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Country | US
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Telephone | 956-428-7862
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | JAIRO RODRIGUEZ
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Credential | M.D.
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Telephone | 956-542-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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