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General NPI Number Information
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NPI Number | 1588084610
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Entity Type | Individual
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Provider Name | ROBERT DIBENEDETTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 501 MEDICAL CENTER DR STE 3A
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8124
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Country | US
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Telephone | 318-769-5970
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Fax |
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Provider Business Mailing Address
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Address Line | 1430 TULANE AVE # 8611
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2632
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Country | US
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Telephone | 504-988-5217
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 309588
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License Number State | LA
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