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General NPI Number Information
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NPI Number | 1851407019
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Entity Type | Individual
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Provider Name | JOSEPH F BENENATE D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 02/08/2020
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Provider Practice Location Address
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Address Line | 9627 ROBIN MEADOW DR
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City | DALLAS
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State | TX
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Zip | 75243-7522
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Country | US
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Telephone | 214-808-5775
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Fax | 214-342-1847
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Provider Business Mailing Address
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Address Line | PO BOX 820215
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City | DALLAS
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State | TX
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Zip | 75382-0215
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Country | US
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Telephone | 214-808-5775
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Fax | 214-342-1847
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | H2241
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License Number State | TX
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