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Individual
BENJAMIN CLARK HERMANSEN
Active
Individual
BENJAMIN CLARK HERMANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10389003-4901
UT
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86076257
COMISSION ON DIETETIC REGISTRATION
—
Enumeration date
05/18/2017
Last updated
07/20/2023
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