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Individual
JIMI O. BENSON
Active
Individual
JIMI O. BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A116611
CA
207R00000X
Internal Medicine Physician
A1166AA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275936270
—
CA
05
—
1477751667
—
CA
05
—
FN314Z
—
CA
Enumeration date
07/10/2007
Last updated
02/24/2023
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