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1548256035
SCOTT M. BENEVIDES
PORTLAND, ME
NPI
1548256035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: ME PA726)
Enumeration Date
2005-09-21
Last Update Date
2022-02-16
Business Address
SCOTT M. BENEVIDES PA-C
33 SEWALL ST
PORTLAND, ME 04102-2603
Phone number: 207-828-2100
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Mailing Address
SCOTT M. BENEVIDES PA-C
324 GANNETT DR STE 200
PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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