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General NPI Number Information
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NPI Number | 1992302921
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Entity Type | Individual
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Provider Name | NICOLE MARIE BENNETT CDCA.179664
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Gender | Female
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Dates
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Enumeration Date | 10/02/2020
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 2121 W 117TH ST
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City | CLEVELAND
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State | OH
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Zip | 44111-1642
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Country | US
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Telephone | 216-417-4831
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Fax | 216-417-0040
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Provider Business Mailing Address
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Address Line | 3801 DENISON AVE
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City | CLEVELAND
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State | OH
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Zip | 44109-2630
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Country | US
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Telephone | 216-417-4831
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Fax | 216-417-0040
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.179664
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License Number State | OH
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