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General NPI Number Information
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NPI Number | 1700044187
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Entity Type | Individual
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Provider Name | MARIA TERESA DATAN BENITEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 1100 N PALM CANYON DR SUITE 212
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4414
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Country | US
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Telephone | 760-327-7900
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Fax | 760-327-7905
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Provider Business Mailing Address
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Address Line | 1100 N PALM CANYON DR SUITE 212
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4414
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Country | US
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Telephone | 760-327-7900
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Fax | 760-327-7905
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C55826
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301092193
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License Number State | MI
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