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NPI 1376071076

NPI 1376071076 : ERIC ROSS BEHAR MD : BRICK, NJ

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General NPI Number Information
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    NPI Number           |    1376071076
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC ROSS BEHAR MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/25/2017
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    Last Update Date     |    10/16/2024
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Provider Practice Location Address
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    Address Line         |    1610 RTE 88 W 
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    City                 |    BRICK
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    State                |    NJ
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    Zip                  |    08724-3018
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    Country              |    US
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    Telephone            |    732-295-6543
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    331 NEWMAN SPRINGS RD BLDG 2, STE 220
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    City                 |    RED BANK
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    State                |    NJ
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    Zip                  |    07701-5688
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    Country              |    US
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    Telephone            |    
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    306616
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    25MA10992300
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    License Number State |    NJ
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