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General NPI Number Information
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NPI Number | 1801175757
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Entity Type | Individual
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Provider Name | YANIRA MARCANO BENITEZ MD
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Gender | Female
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | BO. RIO BLANCO CARR 31 KM 9.6
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City | NAGUABO
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State | PR
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Zip | 00718
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Country | US
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Telephone | 787-602-9041
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 4125
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City | NAGUABO
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State | PR
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Zip | 00718-9771
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Country | US
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Telephone | 787-602-9041
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Fax | 787-861-7162
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 56516
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 18649
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License Number State | PR
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