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General NPI Number Information
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NPI Number | 1831237338
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Entity Type | Organization
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Legal Business Name | GIORDAN BENITEZ, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13472 BISCAYNE BLVD
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2019
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Country | US
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Telephone | 305-940-8414
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Fax | 305-940-8422
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Provider Business Mailing Address
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Address Line | 13472 BISCAYNE BLVD
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2019
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Country | US
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Telephone | 305-940-8414
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Fax | 305-940-8422
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Authorized Official
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Title or Position | VP
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Name | JAVIER BENITEZ
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Credential | BC-HIS
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Telephone | 305-940-8414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | AS3613
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License Number State | FL
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