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General NPI Number Information
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NPI Number | 1114311750
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Entity Type | Organization
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Legal Business Name | BENJAMIN ARTHUR O.D. M.S., PC
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 629 EASTERN PKWY UNIT #M4 (202)
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City | BROOKLYN
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State | NY
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Zip | 11213-3354
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Country | US
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Telephone | 347-450-3165
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Fax |
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Provider Business Mailing Address
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Address Line | 629 EASTERN PKWY UNIT #M4 (202)
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City | BROOKLYN
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State | NY
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Zip | 11213-3354
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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 | DIRECTOR
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Name | DR. BENJAMIN MENLAH ARTHUR
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Credential | O.D. M.S., P.C.
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Telephone | 610-772-5321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV 007997
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License Number State | NY
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