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James Maguire Benzian

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NPI Number Detailed Information

Provider Information:

Name: James Maguire Benzian
Gender: M
Provider License Number If Given: A54335

NPI Information:

NPI: 1497754931
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 8/18/2008

Provider Business Mailing Address:

Address: PO BOX 4219
Orange, CA 92863
Phone Number: 7145715000
Fax Number: 7145715055

Provider Business Practice Location Address:

Address: PUEBLO AT BATH
Santa Barbara, CA 93105
Phone Number: 8055697279
Fax Number: 8055698279

Provider Taxonomy:

Primary: 2085P0229X
Secondary (if any): 2085R0202X
State: CA

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