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General NPI Number Information
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NPI Number | 1598425407
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Entity Type | Individual
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Provider Name | SARAY HERRERA BENAVIDES
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Gender | Female
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 611 WILSHIRE BLVD STE 900
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City | LOS ANGELES
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State | CA
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Zip | 90017-2905
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Country | US
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Telephone | 213-531-0291
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Fax |
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Provider Business Mailing Address
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Address Line | 438 UNION DR APT 204
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City | LOS ANGELES
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State | CA
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Zip | 90017-1523
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Country | US
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Telephone | 760-540-2329
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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