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General NPI Number Information
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NPI Number | 1053508762
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Entity Type | Individual
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Provider Name | MIHAELA RUTH BENSON MSMFT
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Gender | Female
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 39899 BALENTINE DR SUITE 310
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City | NEWARK
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State | CA
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Zip | 94560-5355
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Country | US
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Telephone | 510-979-0200
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Fax | 510-979-0201
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Provider Business Mailing Address
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Address Line | 1000 ZEBRINA WAY
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City | SAN RAMON
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State | CA
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Zip | 94582-5209
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Country | US
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Telephone | 925-309-4893
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC43469
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License Number State | CA
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