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General NPI Number Information
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NPI Number | 1902194863
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Entity Type | Individual
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Provider Name | BENJAMIN PAUL HEINRICHS LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 550 SE 6TH AVE STE 200
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5306
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Country | US
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Telephone | 954-372-6582
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Fax |
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Provider Business Mailing Address
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Address Line | 5949 NW 63RD WAY
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City | PARKLAND
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State | FL
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Zip | 33067-1525
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Country | US
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Telephone | 954-372-6582
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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