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General NPI Number Information
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NPI Number | 1609192426
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Entity Type | Individual
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Provider Name | BENJAMIN TABIBIAN
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Gender | Male
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 2101 N WATERMAN AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-4836
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Country | US
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Telephone | 909-475-5086
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Fax | 909-321-6057
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Provider Business Mailing Address
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Address Line | 6431 FANNIN STREET SUITE MSB 1.434
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City | HOUSTON
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State | TX
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Zip | 77030-5389
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Country | US
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Telephone | 832-325-7222
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Fax | 713-500-6829
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | Q8653
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 20A12185
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 20A12185
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License Number State | CA
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