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General NPI Number Information
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NPI Number | 1609594894
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Entity Type | Individual
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Provider Name | FRANCIS JOSHUA BENAVIDEZ
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Gender | Male
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 1515 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4000
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Country | US
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Telephone | 877-632-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 11835 MATAGORDA LN
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City | SUGAR LAND
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State | TX
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Zip | 77498-4640
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Country | US
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Telephone | 713-933-5701
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1080987
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License Number State | TX
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