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General NPI Number Information
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NPI Number | 1982896916
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Entity Type | Individual
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Provider Name | BENSON PHILIP PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 1825 EASTCHESTER RD DEPARTMENT OF GENERAL SURGERY 2S-5
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City | BRONX
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State | NY
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Zip | 10461
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Country | US
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Telephone | 718-904-2260
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Fax | 718-904-4183
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Provider Business Mailing Address
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Address Line | 1825 EASTCHESTER RD DEPARTMENT OF GENERAL SURGERY 2S-5
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City | BRONX
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State | NY
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Zip | 10461-2301
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Country | US
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Telephone | 718-904-2260
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Fax | 718-904-4183
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | P45912
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License Number State | NY
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