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General NPI Number Information
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NPI Number | 1558024885
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Entity Type | Individual
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Provider Name | BENJAMIN PATRICK OBRIEN NP
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Gender | Male
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 950 ECHO LN STE 350
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City | HOUSTON
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State | TX
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Zip | 77024-2750
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Country | US
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Telephone | 832-639-2015
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Fax |
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Provider Business Mailing Address
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Address Line | 245 SUGARBERRY CIR
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City | HOUSTON
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State | TX
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Zip | 77024-7266
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Country | US
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Telephone | 303-728-4431
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1174754
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License Number State | TX
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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 | APN.0997005-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0997005-NP
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License Number State | CO
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