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General NPI Number Information
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NPI Number | 1548405012
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Entity Type | Individual
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Provider Name | BENJAMIN S BARON OTR/L
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Gender | Male
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 38 DOUGHTY BLVD
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City | LAWRENCE
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State | NY
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Zip | 11559-1312
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Country | US
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Telephone | 516-732-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 38 DOUGHTY BLVD
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City | LAWRENCE
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State | NY
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Zip | 11559-1312
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Country | US
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Telephone | 516-732-1950
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 015495
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License Number State | NY
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