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Individual
DR. MOSES BENAIAH BENAVIDES
Active
Individual
DR. MOSES BENAIAH BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD 0000040290
TN
Other
Enumeration date
06/02/2011
Last updated
10/26/2021
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