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General NPI Number Information
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NPI Number | 1952278160
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Entity Type | Individual
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Provider Name | MRS. STEPHANIE MICHELLE BENEVIDES
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Gender | Female
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 203 PLYMOUTH AVE STE 701
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City | FALL RIVER
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State | MA
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Zip | 02721-4300
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Country | US
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Telephone | 508-676-3292
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Fax |
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Provider Business Mailing Address
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Address Line | 14 BIRCH RD
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City | ASSONET
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State | MA
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Zip | 02702-1660
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2282568
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License Number State | MA
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