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General NPI Number Information
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NPI Number | 1134541261
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Entity Type | Individual
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Provider Name | MURIEL BENNETT
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Gender | Female
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 01/08/2014
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Provider Practice Location Address
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Address Line | 2001 JEFFERSON DAVIS HWY # VA22202 #211
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City | ARLINGTON
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State | VA
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Zip | 22202-3603
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Country | US
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Telephone | 202-725-0615
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Fax | 919-928-5225
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Provider Business Mailing Address
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Address Line | 1401 N TAFT ST APT 1419
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City | ARLINGTON
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State | VA
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Zip | 22201-2657
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Country | US
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Telephone | 202-725-0615
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Fax | 919-928-5225
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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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