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NPI 1063804292

NPI 1063804292 : CAMERON M BENNETT M.S. : CENTENNIAL, CO

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General NPI Number Information
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    NPI Number           |    1063804292
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    Entity Type          |    Individual 
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    Provider Name        |    CAMERON M BENNETT M.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/25/2015
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    Last Update Date     |    02/10/2025
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Provider Practice Location Address
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    Address Line         |    16283 E BELLEVIEW DR 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80015-4157
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    Country              |    US
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    Telephone            |    785-491-1508
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    Fax                  |    888-570-3009
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Provider Business Mailing Address
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    Address Line         |    16283 E BELLEVIEW DR 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80015-4157
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    Country              |    US
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    Telephone            |    785-491-1508
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    Fax                  |    888-570-3009
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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       |    LCMFT2813
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LMFT7180
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    License Number State |    ID
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LMFT 2670
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    License Number State |    KS
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Taxonomy #4
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    2021026434
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    License Number State |    MO
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Taxonomy #5
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    0002580
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    License Number State |    CO
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