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General NPI Number Information
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NPI Number | 1659680924
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Entity Type | Organization
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Legal Business Name | BENJAMIN C SCHECTER MD PC
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 411 MAIN ST 100A
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City | STROUDSBURG
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State | PA
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Zip | 18360-2499
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Country | US
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Telephone | 570-420-9777
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Fax | 570-420-9780
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Provider Business Mailing Address
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Address Line | 411 MAIN ST 100A
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City | STROUDSBURG
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State | PA
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Zip | 18360-2499
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Country | US
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Telephone | 570-420-9777
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Fax | 570-420-9780
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. BRENDA NEWELL
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Credential |
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Telephone | 570-420-9777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | MD029804L
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License Number State | PA
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