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General NPI Number Information
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NPI Number | 1114266731
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Entity Type | Individual
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Provider Name | CHRISTAN LATONYA BENNETT MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/01/2013
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Last Update Date | 11/24/2024
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Provider Practice Location Address
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Address Line | 1589 MOUNTAIN LAKE DR E
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City | JACKSONVILLE
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State | FL
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Zip | 32221-5548
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Country | US
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Telephone | 904-337-9073
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Fax | 904-337-4448
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Provider Business Mailing Address
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Address Line | 1589 MOUNTAIN LAKE DR E
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City | JACKSONVILLE
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State | FL
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Zip | 32221-5548
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Country | US
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Telephone | 904-337-9073
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Fax | 904-337-4448
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 160994624
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License Number State | FL
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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 | SW13712
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License Number State | FL
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