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NPI Code Detail

MEDICARE: BENJAMIN HART

MEDICARE: BENJAMIN HART
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 Counselor302056KY

General Provider Information

NPI Number : 1659233286
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN HART
Provider Business Mailing Address
First Line : 1115 ASHGROVE RD
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-9202
Country : US
Telephone Number : 859-523-3001
Fax Number :
Provider Business Practice Location Address
First Line : 1115 ASHGROVE RD
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-9202
Country : US
Telephone Number : 859-523-3001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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