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General NPI Number Information
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NPI Number | 1730327776
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Entity Type | Individual
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Provider Name | NASLY CECILIA BENAVIDES PT
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Gender | Female
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 28751 RAINDANCE AVE
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-6421
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Country | US
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Telephone | 813-973-0328
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Fax | 813-973-0328
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Provider Business Mailing Address
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Address Line | 28751 RAINDANCE AVE
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-6421
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Country | US
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Telephone | 813-973-0328
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Fax | 813-973-0328
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 0011506 PT
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License Number State | FL
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