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General NPI Number Information
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NPI Number | 1740044932
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Entity Type | Individual
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Provider Name | ERICA DANIELLE JOHNSON-BENJAMIN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 213 E ETIENNE RD
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City | MAURICE
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State | LA
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Zip | 70555-4375
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Country | US
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Telephone | 318-308-8434
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Fax | 318-310-1323
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Provider Business Mailing Address
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Address Line | 7795 HIGHWAY 107
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City | MANSURA
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State | LA
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Zip | 71350-4929
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Country | US
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Telephone | 318-308-8434
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Fax | 318-310-1323
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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 | 208285
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 208285
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License Number State | LA
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