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General NPI Number Information
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NPI Number | 1972543817
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Entity Type | Individual
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Provider Name | GARY T BENITEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 1766 CONNELLY SPRINGS RD
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City | LENOIR
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State | NC
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Zip | 28645-7827
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Country | US
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Telephone | 828-728-8224
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Fax | 828-728-1690
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Provider Business Mailing Address
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Address Line | 1766 CONNELLY SPRINGS RD
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City | LENOIR
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State | NC
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Zip | 28645-7827
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Country | US
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Telephone | 828-728-8224
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Fax | 828-728-1690
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9501491
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License Number State | NC
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