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Benjamin Nash

NPI Registration Record

Provider / OrganizationNPIDate Certified
BENJAMIN NASH14973938472020-10-11
Entity TypeIndividual
Provider Name Benjamin Nash CRNA
Practice Office Address1005 BROADWAY ST
QUINCY, IL US
Practice Office Telephone2172238400
Practice Office Fax2172773960
Mailing Address1005 BROADWAY ST
QUINCY, IL 623012834 US
Business Telephone2172238400
Business Fax2172773960
Contact Endpoints
2.16.840.1.113883.3.1068.1 []https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_ServiceOther Cobius Healthcare Solutions
HPT Codes
CodeLicense NoState
367500000X PRIMARY209020601 IL
OPI Codes

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