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General NPI Number Information
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NPI Number | 1215826185
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Entity Type | Organization
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Legal Business Name | BEN HUCKETT HEALTH SERVICES PC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1498 SE TECH CENTER PL STE 385
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City | VANCOUVER
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State | WA
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Zip | 98683-5508
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Country | US
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Telephone | 360-654-7567
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Fax | 360-603-5159
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Provider Business Mailing Address
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Address Line | 1498 SE TECH CENTER PL STE 385
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City | VANCOUVER
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State | WA
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Zip | 98683-5508
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Country | US
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Telephone | 360-654-7567
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Fax | 360-603-5159
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | BENJAMIN A HUCKETT
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Credential |
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Telephone | 360-603-5150
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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