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NPI Code Detail

MEDICARE: MRS. MARIA BENCOMO

MEDICARE: MRS. MARIA BENCOMO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor15766TX

General Provider Information

NPI Number : 1043881873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA BENCOMO
Provider Business Mailing Address
First Line : 6111 ALAMEDA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79905-4734
Country : US
Telephone Number : 915-772-2045
Fax Number : 915-772-7275
Provider Business Practice Location Address
First Line : 6111 ALAMEDA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79905-4734
Country : US
Telephone Number : 915-772-2045
Fax Number : 915-772-7275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2021
Last Update Date : 07/02/2021

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Directions to “ MRS. MARIA BENCOMO ” Practice Location

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