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General NPI Number Information
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NPI Number | 1184292336
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Entity Type | Individual
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Provider Name | BENJAMIN BARNETT FNP
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Gender | Male
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 10/12/2024
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Provider Practice Location Address
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Address Line | 7109 BACHMAN RD
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City | SARDINIA
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State | OH
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Zip | 45171-8242
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Country | US
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Telephone | 937-446-2531
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Fax |
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Provider Business Mailing Address
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Address Line | 7109 BACHMAN RD
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City | SARDINIA
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State | OH
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Zip | 45171-8242
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Country | US
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Telephone | 937-446-2531
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Fax | 937-446-3441
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN.403062
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License Number State | OH
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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 | APRN.CNP.0029694
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License Number State | OH
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