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General NPI Number Information
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NPI Number | 1548729528
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Entity Type | Individual
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Provider Name | BENJAMIN VILLACRES MORI MD
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Gender | Male
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 4433 VESTAL PKWY E
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City | VESTAL
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State | NY
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Zip | 13850-3556
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Country | US
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Telephone | 607-771-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 33 LEWIS RD FL 2
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City | BINGHAMTON
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State | NY
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Zip | 13905
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Country | US
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Telephone | 607-770-0025
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 319875
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101282795
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License Number State | VA
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