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General NPI Number Information
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NPI Number | 1922055011
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Entity Type | Organization
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Legal Business Name | BENSON OB/GYN CENTER, P.A.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3740 COPPERFIELD DR SUITE 105
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City | BRYAN
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State | TX
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Zip | 77802-5932
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Country | US
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Telephone | 979-776-1660
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Fax | 979-776-1314
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Provider Business Mailing Address
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Address Line | 3740 COPPERFIELD DR SUITE 105
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City | BRYAN
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State | TX
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Zip | 77802-5932
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Country | US
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Telephone | 979-776-1660
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Fax | 979-776-1314
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROYAL HENRY BENSON III
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Credential | MD
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Telephone | 979-776-1660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | H0175
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License Number State | TX
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