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General NPI Number Information
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NPI Number | 1750744819
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Entity Type | Individual
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Provider Name | DELBERT AUGUST BENZENHAFER III M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 7180 N UNIVERSITY DR
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City | TAMARAC
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State | FL
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Zip | 33321-2916
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Country | US
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Telephone | 954-580-2780
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Fax | 954-580-2790
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Provider Business Mailing Address
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Address Line | 1554 SW 6TH TER
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City | BOCA RATON
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State | FL
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Zip | 33486-7007
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Country | US
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Telephone | 954-254-8074
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME157131
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License Number State | FL
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