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General NPI Number Information
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NPI Number | 1366785354
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Entity Type | Individual
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Provider Name | BENJAMIN DANDURAND PHARM.D./M.B.A.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 7732 E CENTRAL AVE
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City | WICHITA
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State | KS
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Zip | 67206-2155
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Country | US
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Telephone | 316-685-2353
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Fax | 316-685-3551
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Provider Business Mailing Address
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Address Line | 7732 E CENTRAL AVE
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City | WICHITA
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State | KS
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Zip | 67206-2155
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Country | US
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Telephone | 316-685-2353
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Fax | 316-685-3551
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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 | 15646
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License Number State | KS
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