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General NPI Number Information
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NPI Number | 1043020134
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Entity Type | Individual
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Provider Name | SHERLEY ANN BENCOSME
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Gender | Female
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 100 CHURCH ST
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City | NEW YORK
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State | NY
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Zip | 10007-2601
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Country | US
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Telephone | 201-801-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 300 WINSTON DR APT 2323
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-3227
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS64939
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License Number State | FL
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