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General NPI Number Information
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NPI Number | 1043105281
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Entity Type | Individual
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Provider Name | FREDERIC BESNARD PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 95 CROMWELL AVE
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City | PITTSFIELD
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State | MA
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Zip | 01201-2717
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Country | US
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Telephone | 929-365-2317
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Fax |
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Provider Business Mailing Address
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Address Line | 964 HIGH HOUSE RD # 3056
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City | CARY
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State | NC
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Zip | 27513-3574
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Country | US
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Telephone | 929-365-2317
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2364798
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License Number State | MA
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