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General NPI Number Information
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NPI Number | 1740599984
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Entity Type | Organization
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Legal Business Name | M BENIT MD INC
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 661 E RIVER ST
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City | ELYRIA
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State | OH
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Zip | 44035-5901
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Country | US
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Telephone | 440-323-4155
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Fax | 440-323-6860
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Provider Business Mailing Address
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Address Line | 661 E RIVER ST
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City | ELYRIA
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State | OH
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Zip | 44035-5901
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Country | US
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Telephone | 440-323-4155
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Fax | 440-323-6860
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Authorized Official
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Title or Position | OWNER
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Name | MEIR BENIT
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Credential | M D
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Telephone | 440-323-4155
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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 | 35036508
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License Number State | OH
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