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General NPI Number Information
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NPI Number | 1215788112
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Entity Type | Organization
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Legal Business Name | SETH BENKEL MD QUEENS, PLLC
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 712 BEACH 20TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-3502
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Country | US
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Telephone | 347-897-0077
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Fax |
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Provider Business Mailing Address
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Address Line | 18441 TUDOR RD
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City | JAMAICA
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State | NY
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Zip | 11432-1511
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Country | US
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Telephone | 917-520-7297
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LORI BENKEL
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Credential |
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Telephone | 917-520-7297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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