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General NPI Number Information
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NPI Number | 1316171440
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Entity Type | Individual
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Provider Name | BEVERLEY BENSKIN M.A. RN NCC LPC CT
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Gender | Female
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 6136 FRISCO SQUARE BLVD
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City | FRISCO
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State | TX
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Zip | 75034-3246
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Country | US
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Telephone | 972-505-1142
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Fax |
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Provider Business Mailing Address
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Address Line | 10316 BOLIVAR DR
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City | MCKINNEY
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State | TX
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Zip | 75070-2985
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Country | US
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Telephone | 972-505-1142
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 61388
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License Number State | TX
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