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General NPI Number Information
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NPI Number | 1972955599
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Entity Type | Individual
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Provider Name | JUDITH BENECH
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Gender | Female
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 4417 E COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 407-704-8939
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Fax |
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Provider Business Mailing Address
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Address Line | 872 CAPE DORY COURT APT 1001
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City | WINTER PARK
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State | FL
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Zip | 32792
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Country | US
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Telephone | 786-501-5349
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | FL
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