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General NPI Number Information
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NPI Number | 1982434882
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Entity Type | Individual
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Provider Name | MICHECA BENJAMIN CNM
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Gender | Female
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 200 WILLIAMSON ST STE 350
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City | ELIZABETH
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State | NJ
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Zip | 07202-2909
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Country | US
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Telephone | 908-994-5500
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Fax | 908-994-5815
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Provider Business Mailing Address
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Address Line | 379 CAMPUS DR
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City | SOMERSET
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State | NJ
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Zip | 08873-1161
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Country | US
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Telephone | 732-937-8939
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Fax | 732-418-8372
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 25ME00087400
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License Number State | NJ
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