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General NPI Number Information
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NPI Number | 1750242434
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Entity Type | Individual
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Provider Name | SHANIKA BENJAMIN
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Gender |
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1001 N FILMORE ST # 3132
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City | ARLINGTON
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State | VA
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Zip | 22201-2169
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Country | US
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Telephone | 347-541-8833
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 N FILMORE ST # 3132
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City | ARLINGTON
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State | VA
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Zip | 22201-2169
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024195463
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License Number State | VA
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