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General NPI Number Information
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NPI Number | 1942416706
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Entity Type | Individual
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Provider Name | BENJAMIN KEIL LANGMAN LPC CAADC CCS
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 421 W OAK AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-2737
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Country | US
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Telephone | 850-215-6007
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Fax | 850-215-6003
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Provider Business Mailing Address
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Address Line | 421 W OAK AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-2737
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Country | US
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Telephone | 850-215-6007
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Fax | 850-215-6003
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 15273-132
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 201261
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License Number State | ZZ
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C00806
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401009346
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH19364
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 3203052217
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401009346
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License Number State | MI
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