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General NPI Number Information
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NPI Number | 1821767732
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Entity Type | Individual
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Provider Name | BENEDICTE RICHARD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 6620 MAIN ST STE 1225
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City | HOUSTON
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State | TX
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Zip | 77030-2331
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Country | US
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Telephone | 832-548-9775
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Fax |
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Provider Business Mailing Address
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Address Line | 19107 WAVERDALE CT
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City | HOUSTON
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State | TX
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Zip | 77094-1136
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Country | US
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Telephone | 713-962-4943
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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