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NPI 1922949403

NPI 1922949403 : DAYNA ROSE BENEFIELD BHA, 0001 : KINGSTON, WA

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General NPI Number Information
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    NPI Number           |    1922949403
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    Entity Type          |    Individual 
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    Provider Name        |    DAYNA ROSE BENEFIELD BHA, 0001
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/01/2026
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    Last Update Date     |    04/01/2026
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Provider Practice Location Address
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    Address Line         |    32020 LITTLE BOSTON RD NE 
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    City                 |    KINGSTON
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    State                |    WA
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    Zip                  |    98346-9734
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    Country              |    US
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    Telephone            |    360-297-2840
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9911 CRANBERRY LN NW APT 202 
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    City                 |    SILVERDALE
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    State                |    WA
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    Zip                  |    98383-8071
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    Country              |    US
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    Telephone            |    564-654-7349
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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        |    175T00000X
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    Taxonomy Name        |    Peer Specialist
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    License Number       |    0001
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    License Number State |    WA
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