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General NPI Number Information
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NPI Number | 1427704352
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Entity Type | Individual
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Provider Name | REBECCA BENEDICT LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 455 E EISENHOWER PKWY STE 300
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City | ANN ARBOR
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State | MI
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Zip | 48108-3324
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Country | US
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Telephone | 917-634-5311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24449
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City | NEW YORK
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State | NY
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Zip | 10087-0589
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Country | US
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Telephone | 917-634-5311
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 014085
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License Number State | NY
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