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General NPI Number Information
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NPI Number | 1205254075
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Entity Type | Individual
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Provider Name | DANIEL BENJAMIN LAX MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 728 POST RD E STE 201
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City | WESTPORT
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State | CT
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Zip | 06880-5200
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Country | US
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Telephone | 203-203-8284
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Fax | 203-732-8136
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Provider Business Mailing Address
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Address Line | 728 POST RD E STE 201
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City | WESTPORT
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State | CT
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Zip | 06880-5200
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Country | US
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Telephone | 203-203-8284
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Fax | 203-732-1539
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 64021
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 293023-1
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License Number State | NY
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