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General NPI Number Information
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NPI Number | 1992159420
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Entity Type | Individual
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Provider Name | BENOIT MAPA D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 161 BARTLEY RD
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City | JACKSON
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State | NJ
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Zip | 08527-1241
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Country | US
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Telephone | 732-837-1130
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Fax | 732-834-0142
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Provider Business Mailing Address
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Address Line | PO BOX 416457
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City | BOSTON
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State | MA
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Zip | 02241-6457
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Country | US
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Telephone | 844-362-1735
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Fax | 973-290-7495
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS020603
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License Number State | PA
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