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Individual
MR. BENJAMIN CHAD SMITH
Active
Individual
MR. BENJAMIN CHAD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP171185
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP171185
STATE LICENSE
ME
01
—
E400443631
PTAN
ME
Enumeration date
10/11/2011
Last updated
03/07/2023
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