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General NPI Number Information
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NPI Number | 1104351337
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Entity Type | Individual
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Provider Name | BENJAMIN NIKOLAOS RAMEY
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Gender | Male
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 10 BOULDER CRESCENT ST STE 102G
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3345
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Country | US
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Telephone | 720-441-4223
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BOULDER-CRESCENT ST. SUITE 102G
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903
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Country | US
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Telephone |
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | NLC.0111022
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0019714
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License Number State | CO
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