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General NPI Number Information
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NPI Number | 1598451429
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Entity Type | Individual
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Provider Name | MISS JOANNIE BENJAMIN
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Gender | Female
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 5941 SOUTH LOOP E UNIT 805
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City | HOUSTON
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State | TX
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Zip | 77033-1065
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Country | US
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Telephone | 678-913-5884
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 W ALABAMA ST APT 5304
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City | HOUSTON
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State | TX
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Zip | 77027-5239
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Country | US
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Telephone | 678-913-5884
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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