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General NPI Number Information
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NPI Number | 1871176776
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Entity Type | Organization
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Legal Business Name | BENJAMIN BONTE M.D. PLLC
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 3000 WESTCHESTER AVE STE 202
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City | PURCHASE
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State | NY
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Zip | 10577-2550
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Country | US
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Telephone | 617-470-4108
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CHAMBERS ST APT 9H
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City | NEW YORK
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State | NY
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Zip | 10282-1008
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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 | FOUNDER
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Name | DR. BENJAMIN BONTE
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Credential | MD
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Telephone | 617-470-4108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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