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General NPI Number Information
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NPI Number | 1063234433
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Entity Type | Individual
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Provider Name | SARA BENNION MS, MFT
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Gender | Female
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 3625 UTICA RIDGE RD STE B
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City | BETTENDORF
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State | IA
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Zip | 52722-1653
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Country | US
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Telephone | 563-484-4387
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Fax |
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Provider Business Mailing Address
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Address Line | 7 PEBBLE CREEK DR
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City | LE CLAIRE
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State | IA
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Zip | 52753-9263
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Country | US
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Telephone | 480-567-4356
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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 |
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License Number State |
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