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General NPI Number Information
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NPI Number | 1457585259
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Entity Type | Individual
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Provider Name | ANDREW DAVID BENEFIELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 655 W. EIGHTH ST. CLINICAL CENTER, 1ST FLOOR
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City | JACKSONVILLE
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State | FL
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Zip | 32209
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Country | US
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Telephone | 904-244-3837
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Fax | 904-244-4508
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Provider Business Mailing Address
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Address Line | 655 W. EIGHTH ST. BOX C506 CLINICAL CENTER, 1ST FLOOR
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City | JACKSONVILLE
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State | FL
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Zip | 32209
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Country | US
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Telephone | 904-244-3837
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Fax | 904-244-4508
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | TRN13445
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME116742
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 068364
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License Number State | GA
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