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General NPI Number Information
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NPI Number | 1578812814
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Entity Type | Individual
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Provider Name | BENJAMIN S STEINBERG PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 34 MANCHESTER AVE STE 205
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City | FORKED RIVER
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State | NJ
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Zip | 08731-1367
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Country | US
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Telephone | 732-800-7676
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Fax | 732-800-7673
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Provider Business Mailing Address
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Address Line | 34 MANCHESTER AVE STE 205
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City | FORKED RIVER
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State | NJ
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Zip | 08731-1367
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Country | US
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Telephone | 732-800-7676
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Fax | 732-800-7673
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00560200
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License Number State | NJ
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