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General NPI Number Information
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NPI Number | 1497647150
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Entity Type | Individual
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Provider Name | ANA M BENITES CARBAJAL
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 2100 45TH ST STE B12
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2064
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Country | US
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Telephone | 561-308-0818
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Fax |
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Provider Business Mailing Address
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Address Line | 3356 MERIDIAN WAY N APT A
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5067
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Country | US
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Telephone | 561-543-7194
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA23092
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License Number State | FL
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