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General NPI Number Information
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NPI Number | 1649113853
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Entity Type | Individual
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Provider Name | DAVID ARTHUR BENOIT SR. CADC
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Gender | Male
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 420 CUMBERLAND AVE
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City | PORTLAND
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State | ME
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Zip | 04101-2823
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Country | US
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Telephone | 207-766-4629
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 847
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City | ACTON
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State | ME
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Zip | 04001-0847
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Country | US
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Telephone | 207-766-4629
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SAA220362
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License Number State | ME
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