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General NPI Number Information
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NPI Number | 1770243909
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Entity Type | Organization
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Legal Business Name | BENTHERE HEALTHCARE LP
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 100 CUMMINGS CTR STE 314H
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City | BEVERLY
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State | MA
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Zip | 01915-6112
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Country | US
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Telephone | 781-521-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CUMMINGS CTR STE 314H
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City | BEVERLY
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State | MA
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Zip | 01915-6112
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Country | US
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Telephone | 781-521-0302
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Fax | 978-219-2238
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Authorized Official
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Title or Position | DOCTOR OF NURSING PRACTICE
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Name | ABILA PRIMUS BENAZEA
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Credential | DNP
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Telephone | 781-521-0302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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