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General NPI Number Information
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NPI Number | 1770491037
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Entity Type | Organization
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Legal Business Name | THE BROTHER BENNO FOUNDATION, INC.
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 3260 PRODUCTION AVE
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City | OCEANSIDE
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State | CA
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Zip | 92058-1308
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Country | US
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Telephone | 760-439-1244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 308
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City | OCEANSIDE
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State | CA
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Zip | 92049-0308
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Country | US
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Telephone | 951-837-7470
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PAUL MCNAMARA
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Credential |
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Telephone | 760-443-6336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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