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General NPI Number Information
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NPI Number | 1184180283
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Entity Type | Individual
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Provider Name | DANIELA BENITES LP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 821 W 11TH ST
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City | AUSTIN
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State | TX
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Zip | 78701-2009
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Country | US
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Telephone | 512-387-7145
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Fax |
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Provider Business Mailing Address
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Address Line | 4133 THREADGILL ST
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City | AUSTIN
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State | TX
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Zip | 78723-4545
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Country | US
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Telephone | 561-927-9005
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 027130
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 37496
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License Number State | TX
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