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General NPI Number Information
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NPI Number | 1700185352
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Entity Type | Individual
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Provider Name | STEPHANIE LAUREN BENYI M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 3518 JEFFERSON AVE
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City | REDWOOD CITY
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State | CA
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Zip | 94062-3136
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Country | US
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Telephone | 650-365-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 3518 JEFFERSON AVE
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City | REDWOOD CITY
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State | CA
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Zip | 94062-3136
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Country | US
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Telephone | 650-365-7500
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP7591
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP26728
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License Number State | CA
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