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General NPI Number Information
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NPI Number | 1508612367
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Entity Type | Individual
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Provider Name | KAMYLA N. BENITEZ
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Gender | Female
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 100 CAMBRIDGE ST FL 14
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City | BOSTON
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State | MA
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Zip | 02114-2509
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Country | US
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Telephone | 617-861-4958
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Fax |
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Provider Business Mailing Address
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Address Line | MIRAMELINDA ESTATE SAN PEDRITO STREET 50
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone |
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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 |
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License Number State |
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