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General NPI Number Information
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NPI Number | 1750550828
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Entity Type | Individual
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Provider Name | YELENA DEBENEDETTO LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 107 WOODBINE PL
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City | LONGVIEW
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State | TX
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Zip | 75601-2912
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Country | US
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Telephone | 903-758-2471
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Fax | 903-234-1639
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Provider Business Mailing Address
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Address Line | 107 WOODBINE PL
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City | LONGVIEW
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State | TX
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Zip | 75601-2912
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Country | US
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Telephone | 903-758-2471
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Fax | 903-234-1639
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 50437
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 205903
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License Number State | TX
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