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General NPI Number Information
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NPI Number | 1578866133
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Entity Type | Individual
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Provider Name | MS. DONNA JEAN BENAYA
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Gender | Female
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 85 NE LOOP 410 STE 610
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City | SAN ANTONIO
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State | TX
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Zip | 78216-5866
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Country | US
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Telephone | 210-591-6100
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Fax | 210-308-2913
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Provider Business Mailing Address
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Address Line | 135 PINECREST BLVD APT 4
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City | SAN ANTONIO
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State | TX
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Zip | 78209-4149
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Country | US
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Telephone | 210-490-4743
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Fax | 210-490-4743
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2068320
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License Number State | TX
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