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NPI Code Detail

MEDICARE: BENNJAMIN HALL

MEDICARE: BENNJAMIN HALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1659216901
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENNJAMIN HALL
Provider Business Mailing Address
First Line : 3300 N 60TH ST BLDG C
Second Line :
City : OMAHA
State : NE
Zip : 68104-3402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3300 N 60TH ST BLDG C
Second Line :
City : OMAHA
State : NE
Zip : 68104-3402
Country : US
Telephone Number : 402-552-7496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ BENNJAMIN HALL ” Practice Location

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