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General NPI Number Information
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NPI Number | 1023343050
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Entity Type | Individual
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Provider Name | ALDO ANDRES BENALCAZAR M.S.W.
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Gender | Male
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 10355 SLUSHER DR
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-7353
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Country | US
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Telephone | 213-444-8392
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6146
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City | ALHAMBRA
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State | CA
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Zip | 91802-6146
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Country | US
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Telephone | 213-444-8392
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 68914
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW68914
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License Number State | CA
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