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General NPI Number Information
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NPI Number | 1851142509
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Entity Type | Individual
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Provider Name | VALERIA BENITEZ-LOPEZ MD, MA
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Gender | Female
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 1941 EAST RD STE 3236
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City | HOUSTON
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State | TX
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Zip | 77054-6010
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Country | US
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Telephone | 713-486-2744
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Fax | 713-486-2553
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Provider Business Mailing Address
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Address Line | 1124 TUOLUMNE LN
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City | PALO ALTO
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State | CA
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Zip | 94303-4265
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Country | US
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Telephone | 619-845-3370
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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