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General NPI Number Information
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NPI Number | 1164569810
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Entity Type | Organization
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Legal Business Name | DAVID BENSON INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 6913 BELAIR RD
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City | BALTIMORE
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State | MD
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Zip | 21206-1123
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Country | US
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Telephone | 410-665-5192
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Fax | 410-668-8533
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Provider Business Mailing Address
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Address Line | 6913 BELAIR RD
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City | BALTIMORE
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State | MD
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Zip | 21206-1123
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Country | US
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Telephone | 410-665-5192
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Fax | 410-668-8533
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Authorized Official
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Title or Position | OWNER
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Name | DAVID BENSON LIEBMAN
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Credential |
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Telephone | 410-665-5192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P00359
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License Number State | MD
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