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General NPI Number Information
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NPI Number | 1003671850
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Entity Type | Individual
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Provider Name | BENITO JOSEPH JR. PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 57 BAY STREET 1ST & 3RD FLOOR
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City | STATEN ISLAND
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State | NY
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Zip | 10301
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Country | US
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Telephone | 844-400-1975
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Fax |
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Provider Business Mailing Address
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Address Line | 2351 BEDFORD AVE FL 2
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City | BROOKLYN
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State | NY
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Zip | 11226-5403
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Country | US
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Telephone | 844-400-1975
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15328900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 682961
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F406352-01
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License Number State | NY
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