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General NPI Number Information
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NPI Number | 1871708453
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Entity Type | Individual
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Provider Name | MONICA JILL FREEMAN-BENNEFIELD LPC
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 10029 CLEVELAND AVE SE
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City | MAGNOLIA
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State | OH
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Zip | 44643-9781
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Country | US
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Telephone | 234-386-0306
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Fax | 234-386-0108
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Provider Business Mailing Address
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Address Line | 6127 LAVENHAM RD SW
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City | MASSILLON
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State | OH
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Zip | 44646-9676
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Country | US
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Telephone | 330-795-5437
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.2204702
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License Number State | OH
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