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General NPI Number Information
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NPI Number | 1104000553
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Entity Type | Individual
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Provider Name | KIMBERLY ANN BENISH APRN
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Gender | Female
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 301 E BROAD ST
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City | TEXARKANA
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State | AR
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Zip | 71854-5905
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Country | US
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Telephone | 870-361-1935
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Fax | 870-361-1940
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Provider Business Mailing Address
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Address Line | 301 E BROAD ST
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City | TEXARKANA
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State | AR
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Zip | 71854-5905
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Country | US
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Telephone | 870-361-1935
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Fax | 870-361-1940
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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 | 1826
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 303049
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 871908
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11029646
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A177118
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-82847-082
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License Number State | KS
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP231599
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License Number State | ME
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-230368
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License Number State | MT
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 871908
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 76374
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License Number State | NM
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R55245
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License Number State | ND
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Taxonomy #12
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 101.0136697
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License Number State | VT
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Taxonomy #13
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61503102
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License Number State | WA
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Taxonomy #14
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 115070
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License Number State | NE
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Taxonomy #15
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A003590
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License Number State | AR
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