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Individual
BEN JU
Active
Individual
BEN JU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15142
PR
208D00000X
General Practice Physician
Primary
ACN1608
FL
Other
Enumeration date
06/08/2006
Last updated
03/26/2026
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