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General NPI Number Information
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NPI Number | 1831003631
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Entity Type | Individual
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Provider Name | BENJAMEN GOOD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 721 E COURT ST
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City | PARIS
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State | IL
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Zip | 61944-2460
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Country | US
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Telephone | 217-466-4911
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Fax |
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Provider Business Mailing Address
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Address Line | 307 N BANKER ST
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City | EFFINGHAM
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State | IL
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Zip | 62401-2202
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Country | US
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Telephone | 217-994-5082
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 060630514
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License Number State | IL
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