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General NPI Number Information
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NPI Number | 1902102627
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Entity Type | Organization
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Legal Business Name | MICHAEL BENHURI MD PC
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 1025 N BROADWAY
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City | N MASSAPEQUA
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State | NY
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Zip | 11758-2120
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Country | US
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Telephone | 516-249-3138
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 N BROADWAY
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City | N MASSAPEQUA
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State | NY
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Zip | 11758-2120
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Country | US
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Telephone | 516-249-3138
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MASSOUD BENHURI
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Credential | MD
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Telephone | 516-249-3138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 175748
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License Number State | NY
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