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General NPI Number Information
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NPI Number | 1659253557
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Entity Type | Individual
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Provider Name | DESTINY BENITEZ
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 708 GOODLETTE-FRANK RD N
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City | NAPLES
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State | FL
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Zip | 34102-5644
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Country | US
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Telephone | 239-351-0675
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Fax | 239-310-2045
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Provider Business Mailing Address
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Address Line | 5781 CASSIDY LN
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City | AVE MARIA
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State | FL
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Zip | 34142-5406
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Country | US
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Telephone | 850-766-0646
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-24-392441
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License Number State | FL
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