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General NPI Number Information
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NPI Number | 1194847053
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Entity Type | Individual
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Provider Name | BENITA LOUISE KING LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 12/08/2024
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Provider Practice Location Address
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Address Line | 2115 CARONDELET ST
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City | NEW ORLEANS
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State | LA
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Zip | 70130-5827
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Country | US
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Telephone | 504-371-5512
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Fax |
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Provider Business Mailing Address
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Address Line | 243 W CAUSEWAY APPROACH
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City | MANDEVILLE
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State | LA
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Zip | 70448-3032
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWB-2023-1186
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 15036
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License Number State | LA
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