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General NPI Number Information
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NPI Number | 1164489803
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Entity Type | Individual
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Provider Name | BENSON LOUIS ZOGHLIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 279 EAST AVE HILTON HEALTH CARE, P.C.
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City | HILTON
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State | NY
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Zip | 14468-1333
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Country | US
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Telephone | 585-392-9100
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Fax | 585-392-4020
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone | 585-392-9100
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Fax | 585-392-6292
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 169892
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 169892
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License Number State | NY
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