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General NPI Number Information
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NPI Number | 1558636639
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Entity Type | Individual
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Provider Name | PAUL H. BENSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 309 REGENCY PKWY STE 103
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City | MANSFIELD
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State | TX
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Zip | 76063-5165
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Country | US
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Telephone | 866-367-8768
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 S COOPER ST STE 201
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City | ARLINGTON
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State | TX
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Zip | 76017-5993
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Country | US
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Telephone | 866-367-8768
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | R1705
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License Number State | TX
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