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NPI 1023194289

NPI 1023194289 : BENET RAY PRESS M.D. : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1023194289
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    Entity Type          |    Individual 
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    Provider Name        |    BENET RAY PRESS M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/31/2006
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    Last Update Date     |    04/22/2025
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Provider Practice Location Address
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    Address Line         |    5102 W CAMPBELL AVE 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85031-1703
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    Country              |    US
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    Telephone            |    602-344-5011
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7286 W DONALD DR 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85310-5646
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    Country              |    US
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    Telephone            |    602-790-5236
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    Fax                  |    888-240-5905
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    G176220
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    25421
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    25421
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    License Number State |    AZ
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