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General NPI Number Information
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NPI Number | 1871697227
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Entity Type | Individual
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Provider Name | HOWARD ISRAEL BENESCH PHD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11 KING CHARLES DRIVE SUITE 11 4B
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City | PORTSMOUTH
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State | RI
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Zip | 02871
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Country | US
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Telephone | 401-625-1431
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Fax | 401-683-6970
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Provider Business Mailing Address
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Address Line | PO BOX 349
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City | TIVERTON
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State | RI
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Zip | 02878-0349
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Country | US
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Telephone | 401-625-1431
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Fax | 401-683-6970
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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 | PS00155
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1841
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License Number State | MA
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