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General NPI Number Information
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NPI Number | 1700980281
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Entity Type | Individual
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Provider Name | BRIAN J BENJAMIN MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 3245 HOSPITAL DR
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City | JUNEAU
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State | AK
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Zip | 99801-7809
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Country | US
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Telephone | 919-475-5443
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Fax | 907-463-5868
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Provider Business Mailing Address
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Address Line | 3225 HOSPITAL DR UNIT 101A
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City | JUNEAU
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State | AK
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Zip | 99801-7863
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Country | US
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Telephone | 919-475-5443
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Fax | 907-463-5868
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36085
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6945
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License Number State | AK
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