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General NPI Number Information
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NPI Number | 1275260978
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Entity Type | Individual
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Provider Name | MARYN ELIZABETH BENEDA MFT
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Gender | Female
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 7828 VANCE DR STE 210
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City | ARVADA
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State | CO
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Zip | 80003-2126
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Country | US
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Telephone | 720-804-4791
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Fax |
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Provider Business Mailing Address
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Address Line | 7828 VANCE DR
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City | ARVADA
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State | CO
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Zip | 80003-2124
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Country | US
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Telephone | 207-804-4791
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0014129
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License Number State | CO
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