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General NPI Number Information
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NPI Number | 1285350082
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Entity Type | Individual
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Provider Name | BENJAMIN PERKINS LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 31450 BROAD BEACH RD
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City | MALIBU
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State | CA
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Zip | 90265-2669
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Country | US
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Telephone | 877-563-4811
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4943
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City | CULVER CITY
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State | CA
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Zip | 90231-4943
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Country | US
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Telephone | 310-803-6143
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 132028
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License Number State | CA
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