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General NPI Number Information
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NPI Number | 1598607319
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Entity Type | Organization
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Legal Business Name | BENKO PROFESSIONAL SERVICES, LLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 5212 MARCILLUS AVE
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City | EL PASO
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State | TX
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Zip | 79924-5340
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Country | US
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Telephone | 915-540-0263
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Fax | 915-200-0265
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Provider Business Mailing Address
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Address Line | 5212 MARCILLUS AVE
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City | EL PASO
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State | TX
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Zip | 79924-5340
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Country | US
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Telephone | 915-540-0263
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Fax | 915-200-0265
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | DARRELL ELLIOTT BENKO
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Credential | AGPCNP-BC, PMHNP-BC
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Telephone | 915-540-0263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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