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1821279787 NPI number — BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA

NPI Number: 1821279787
Health Care Provider/Practitioner: BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA

Information about “1821279787” NPI (BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA) exists in 1821279787 in HTML format HTML  |  1821279787 in plain Text format TXT  |  1821279787 in PDF (Portable Document Format) PDF  |  1821279787 in an XML format XML  formats.

NPI Number : 1821279787 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821279787",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA",
    "ParentOrgTIN": null,
    "OrgName": "BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1611 N BELT LINE RD",
    "SecondLineMailingAddress": "STE A",
    "MailingAddressCityName": "MESQUITE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75149-1722",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-613-1000",
    "MailingAddressFaxNumber": "972-613-4232",
    "FirstLinePracticeLocationAddress": "124 E US HIGHWAY 80",
    "SecondLinePracticeLocationAddress": "STE 104",
    "PracticeLocationAddressCityName": "FORNEY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75126-8612",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-552-2621",
    "PracticeLocationAddressFaxNumber": "972-552-2620",
    "EnumerationDate": "11/20/2007",
    "LastUpdateDate": "12/09/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BENJAMIN",
    "AuthorizedOfficialFirstName": "JENSE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "97255222621",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "L 2800",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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