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General NPI Number Information
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NPI Number | 1144681354
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Entity Type | Organization
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Legal Business Name | BENIVEX INC
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Dates
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Enumeration Date | 03/15/2016
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Last Update Date | 06/11/2018
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Provider Practice Location Address
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Address Line | 370 W INDIAN TRL
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City | AURORA
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State | IL
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Zip | 60506-2451
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Country | US
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Telephone | 630-800-1636
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Fax | 708-575-6911
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Provider Business Mailing Address
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Address Line | 370 W INDIAN TRL
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City | AURORA
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State | IL
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Zip | 60506-2451
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Country | US
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Telephone | 630-800-1636
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Fax | 708-575-6911
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Authorized Official
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Title or Position | OWNER
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Name | LINDA ALOMARI
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Credential |
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Telephone | 630-800-1636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054020036
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License Number State | IL
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