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General NPI Number Information
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NPI Number | 1366745135
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Entity Type | Individual
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Provider Name | BENJAMIN MARCUS PUESCHNER LMSW
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Gender | Male
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 1200 E AND WEST RD
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City | WEST SENECA
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State | NY
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Zip | 14224-3604
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Country | US
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Telephone | 716-608-2722
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Fax | 716-608-2838
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Provider Business Mailing Address
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Address Line | 1200 E AND WEST RD
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City | WEST SENECA
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State | NY
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Zip | 14224-3604
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Country | US
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Telephone | 716-608-2722
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Fax | 716-608-2838
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 057134-1
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License Number State | NY
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