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NPI Code Detail

MEDICARE: BRIYONA BENJAMIN

MEDICARE: BRIYONA BENJAMIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker106376TX

General Provider Information

NPI Number : 1467910505
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIYONA BENJAMIN
Provider Business Mailing Address
First Line : 1375 N SCOTTSDALE RD STE 200
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-3429
Country : US
Telephone Number : 214-669-3897
Fax Number :
Provider Business Practice Location Address
First Line : 1375 N SCOTTSDALE RD STE 200
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-3429
Country : US
Telephone Number : 480-877-9284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2019
Last Update Date : 06/18/2026

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Directions to “ BRIYONA BENJAMIN ” Practice Location

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