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Individual
BENJAMIN MATIP
Active
Individual
BENJAMIN MATIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
924543
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1127807
TX
Other
Enumeration date
06/26/2023
Last updated
08/04/2023
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