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General NPI Number Information
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NPI Number | 1770932279
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Entity Type | Individual
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Provider Name | SHARON BENEKOHAL LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 1708 OLD MAPLE LN
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City | SAVOY
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State | IL
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Zip | 61874-9665
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Country | US
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Telephone | 217-649-8829
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Fax |
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Provider Business Mailing Address
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Address Line | 1708 OLD MAPLE LN
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City | SAVOY
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State | IL
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Zip | 61874-9665
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Country | US
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Telephone | 217-649-8829
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW13550
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.018177
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License Number State | IL
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