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General NPI Number Information
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NPI Number | 1194253898
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Entity Type | Individual
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Provider Name | BENJAMIN MARKUS FARTHING DO, PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 400 W GREEN MEADOWS DR STE 110
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City | GREENFIELD
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State | IN
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Zip | 46140-3205
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Country | US
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Telephone | 792-131-7967
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Fax |
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Provider Business Mailing Address
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Address Line | 27100 CHARDON RD
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-1116
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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 | 26024652A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01085768A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 01085768A
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License Number State | IN
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