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General NPI Number Information
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NPI Number | 1609876630
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY SPECIALISTS OF DELAWARE LLC
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Dates
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Enumeration Date | 08/01/2005
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 2600 GLASGOW AVENUE SUITE 106
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City | NEWARK
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State | DE
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Zip | 19702-5704
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Country | US
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Telephone | 302-832-3755
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Fax | 302-834-4863
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Provider Business Mailing Address
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Address Line | 2600 GLASGOW AVENUE SUITE 106
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City | NEWARK
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State | DE
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Zip | 19702-5704
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Country | US
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Telephone | 302-832-3755
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Fax | 302-834-4863
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. GEORGE BENES
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Credential | MD
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Telephone | 302-832-3755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1992101864
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License Number State | DE
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