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General NPI Number Information
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NPI Number | 1902692387
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Entity Type | Individual
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Provider Name | BENJAMIN THOMAS MARCHMAN MS, APC
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Gender | Male
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 9757 BLUE RIDGE DR
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City | BLUE RIDGE
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State | GA
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Zip | 30513-4167
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Country | US
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Telephone | 706-455-2490
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Fax |
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Provider Business Mailing Address
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Address Line | 20 LEESBURG PT
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City | SHARPSBURG
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State | GA
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Zip | 30277-3034
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Country | US
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Telephone | 678-480-8780
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APC010289
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License Number State | GA
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