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General NPI Number Information
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NPI Number | 1053045187
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Entity Type | Individual
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Provider Name | BENJAMIN MARTIN MCGINNIS
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Gender | Male
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 10/16/2022
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Provider Practice Location Address
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Address Line | 11310 CORNELL PARK DR
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City | BLUE ASH
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State | OH
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Zip | 45242-1814
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Country | US
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Telephone | 513-535-7282
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Fax |
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Provider Business Mailing Address
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Address Line | 1059 TIMBERVALLEY CT
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City | CINCINNATI
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State | OH
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Zip | 45233-4578
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 022996
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26030024A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03442117
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License Number State | OH
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