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General NPI Number Information
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NPI Number | 1275748766
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Entity Type | Individual
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Provider Name | DIXIE L. BENSHOFF PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 231 NORTH CHESTNUT ST.
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City | RAVENNA
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State | OH
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Zip | 44266
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Country | US
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Telephone | 330-310-9512
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Fax | 330-562-1463
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Provider Business Mailing Address
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Address Line | 250 BIRCHBARK TRL
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City | AURORA
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State | OH
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Zip | 44202-9159
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Country | US
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Telephone | 330-310-9512
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Fax | 330-562-1463
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2797
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License Number State | OH
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