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General NPI Number Information
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NPI Number | 1679771489
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Entity Type | Individual
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Provider Name | WENDI A. BENALT MD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 11712 MOORPARK ST STE 105
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City | STUDIO CITY
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State | CA
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Zip | 91604-2156
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Country | US
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Telephone | 818-643-5082
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Fax |
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Provider Business Mailing Address
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Address Line | 11712 MOORPARK ST STE 105
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City | STUDIO CITY
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State | CA
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Zip | 91604-2156
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Country | US
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Telephone | 818-476-4183
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Fax | 818-476-4295
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A123969
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License Number State | CA
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