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General NPI Number Information
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NPI Number | 1689139669
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Entity Type | Individual
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Provider Name | BENJAMIN BOLMEIER ARNP
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Gender | Male
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 11404 W DODGE RD STE 300
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City | OMAHA
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State | NE
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Zip | 68154-9603
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Country | US
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Telephone | 402-898-1113
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Fax |
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Provider Business Mailing Address
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Address Line | 11404 W DODGE RD STE 300
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City | OMAHA
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State | NE
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Zip | 68154-9603
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Country | US
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Telephone | 402-898-1113
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Fax | 402-819-5588
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | G153862
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License Number State | IA
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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 | 112752
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License Number State | NE
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