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General NPI Number Information
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NPI Number | 1164689717
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Entity Type | Individual
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Provider Name | DEBRA R BENZ
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Gender | Female
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 8040 HOSBROOK RD SUITE 320
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City | CINCINNATI
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State | OH
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Zip | 45236-2901
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Country | US
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Telephone | 513-861-9797
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Fax | 513-861-3510
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Provider Business Mailing Address
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Address Line | 8040 HOSBROOK RD SUITE 320
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City | CINCINNATI
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State | OH
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Zip | 45236-2901
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Country | US
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Telephone | 513-861-9797
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Fax | 513-861-3510
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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 | I-0007737
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License Number State | OH
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