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Individual
CHARLES BENAGE
Active
Individual
CHARLES BENAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD0023736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020437
—
WA
01
—
105282
LABOR & INDUSTRIES
WA
01
—
8927756
CRIME VICTIMS
WA
Enumeration date
06/22/2005
Last updated
01/28/2010
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