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General NPI Number Information
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NPI Number | 1659598779
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Entity Type | Individual
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Provider Name | BENJAMIN BRUCE
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 9325 GLADES RD STE 205
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City | BOCA RATON
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State | FL
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Zip | 33434-3988
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Country | US
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Telephone | 561-314-7200
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Fax | 561-314-7201
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Provider Business Mailing Address
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Address Line | 9325 GLADES RD STE 205
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City | BOCA RATON
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State | FL
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Zip | 33434-3988
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Country | US
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Telephone | 561-314-7200
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Fax | 561-314-7201
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036-129658
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License Number State | IL
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