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Individual
MARK BENISH
Active
Individual
MARK BENISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC.0012398
CO
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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