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General NPI Number Information
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NPI Number | 1770446361
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Entity Type | Individual
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Provider Name | CLAIRE ROUSH BENNETT ADMIN SERVICES
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1704 CAPE HORN AVE
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City | JULIAN
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State | CA
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Zip | 92036
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Country | US
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Telephone | 619-832-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 363 REFLECTIONS AVE
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City | PONTE VEDRA
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State | FL
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Zip | 32081-1186
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Country | US
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Telephone | 619-832-1220
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 220285982
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License Number State | CA
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