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Individual
MARIE BENITEZ
Active
Individual
MARIE BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30014
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
879091
—
AZ
Enumeration date
11/14/2005
Last updated
01/17/2012
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