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General NPI Number Information
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NPI Number | 1043250707
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Entity Type | Individual
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Provider Name | STEVEN M. BEENSTOCK D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1 RIVERFRONT PLZ STE 300
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City | NEWARK
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State | NJ
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Zip | 07102-5412
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Country | US
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Telephone | 201-273-7047
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Fax | 855-998-4358
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Provider Business Mailing Address
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Address Line | PO BOX 40409
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City | BELFAST
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State | ME
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Zip | 04915-1255
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Country | US
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Telephone | 201-273-7047
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Fax | 855-998-4358
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB07314600
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License Number State | NJ
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