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General NPI Number Information
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NPI Number | 1316800162
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Entity Type | Individual
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Provider Name | BENJAMIN JIAAN TIEN LMSW
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Gender | Male
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 145 E 125TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10035-1714
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Country | US
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Telephone | 718-573-6214
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Fax |
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Provider Business Mailing Address
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Address Line | 2134 2ND AVE APT 4A
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City | NEW YORK
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State | NY
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Zip | 10029-3372
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Country | US
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Telephone | 408-421-3386
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 127902
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License Number State | NY
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