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General NPI Number Information
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NPI Number | 1730711375
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Entity Type | Organization
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Legal Business Name | BENJAMIN ALPERT, PSYD, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 2525 CAMINO DEL RIO S STE 305 OFFICE2
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City | SAN DIEGO
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State | CA
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Zip | 92108-3717
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Country | US
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Telephone | 845-570-1278
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 CAMINO DEL RIO S STE 305 OFFICE 2
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City | SAN DIEGO
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State | CA
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Zip | 92108-3717
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Country | US
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Telephone | 845-570-1278
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. BENJAMIN ALPERT
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Credential | PSYD
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Telephone | 587-514-3688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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