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General NPI Number Information
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NPI Number | 1033093273
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Entity Type | Individual
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Provider Name | CHRIS BENTON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 2195 HIGHWAY 49 S
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City | FLORENCE
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State | MS
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Zip | 39073-9420
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Country | US
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Telephone | 601-891-7007
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Fax |
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Provider Business Mailing Address
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Address Line | 134 GREEN GLADES
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City | RIDGELAND
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State | MS
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Zip | 39157-8662
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Country | US
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Telephone | 601-842-7317
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-09799
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License Number State | MS
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