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General NPI Number Information
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NPI Number | 1770140238
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Entity Type | Individual
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Provider Name | MRS. LEIGH ANNE BENIGNI
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Gender | Female
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 3150 LIVERNOIS RD STE 140
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City | TROY
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State | MI
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Zip | 48083-5000
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Country | US
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Telephone | 248-264-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 2165 WALTER CT
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City | WARREN
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State | MI
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Zip | 48092-2121
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 7501017203
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License Number State | MI
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