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General NPI Number Information
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NPI Number | 1841916483
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Entity Type | Individual
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Provider Name | BENJAMIN FRANZEN PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 2560 N HEALTHY WAY
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City | FREMONT
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State | NE
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Zip | 68025-2315
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Country | US
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Telephone | 402-941-9452
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 147
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City | BOYS TOWN
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State | NE
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Zip | 68010-0147
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Country | US
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Telephone | 402-719-7777
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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 | 114464
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License Number State | NE
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