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General NPI Number Information
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NPI Number | 1326959222
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Entity Type | Individual
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Provider Name | ROSANA BENITEZ
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 4714 ARCADIA DR STE 100-125
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City | FREDERICK
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State | MD
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Zip | 21703-7662
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Country | US
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Telephone | 301-291-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 1803 GREENSPRING PL UNIT 205
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City | FREDERICK
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State | MD
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Zip | 21702-6013
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Country | US
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Telephone | 301-291-8585
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | MD
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