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General NPI Number Information
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NPI Number | 1730316035
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Entity Type | Individual
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Provider Name | LILYMAR BENITEZ
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Gender | Female
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 06/15/2009
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Provider Practice Location Address
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Address Line | 1818 CALLE LOIZA
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City | SANTURCE
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State | PR
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Zip | 00911-1826
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Country | US
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Telephone | 787-902-3707
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Fax | 787-726-5114
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Provider Business Mailing Address
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Address Line | PO BOX 4330
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City | CAROLINA
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State | PR
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Zip | 00984-4330
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Country | US
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Telephone | 787-645-2537
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Fax | 787-726-5114
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2938
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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