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General NPI Number Information
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NPI Number | 1356957302
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Entity Type | Individual
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Provider Name | ANNA BENALI
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Gender | Female
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 3439 13TH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34769-4052
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Country | US
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Telephone | 407-556-3310
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Fax |
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Provider Business Mailing Address
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Address Line | 545 DELANCEY DR
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City | DAVENPORT
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State | FL
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Zip | 33837-3602
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Country | US
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Telephone | 407-485-1319
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-78106
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License Number State | FL
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