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General NPI Number Information
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NPI Number | 1174343495
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Entity Type | Individual
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Provider Name | BENSON JOSEPH FOX PSYD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 200 S SERVICE RD STE 110A
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2133
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Country | US
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Telephone | 916-362-1653
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Fax |
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Provider Business Mailing Address
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Address Line | 1071 FULTON ST REAR
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City | WOODMERE
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State | NY
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Zip | 11598-1128
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Country | US
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Telephone | 516-880-2841
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 027739
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License Number State | NY
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