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NPI 1093310054

NPI 1093310054 : BENJAMIN BOICE : MARION, OH

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General NPI Number Information
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    NPI Number           |    1093310054
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    Entity Type          |    Individual 
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    Provider Name        |    BENJAMIN BOICE
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/30/2020
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    Last Update Date     |    01/13/2026
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Provider Practice Location Address
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    Address Line         |    1040 DELAWARE AVE 
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    City                 |    MARION
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    State                |    OH
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    Zip                  |    43302-6416
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    Country              |    US
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    Telephone            |    740-383-7747
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    Fax                  |    740-375-8180
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Provider Business Mailing Address
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    Address Line         |    96 NORTHWOODS BLVD STE B1 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43235-4722
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    Country              |    US
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    Telephone            |    614-425-2310
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    Fax                  |    740-990-7001
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN.CNP.0028076
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    License Number State |    OH
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