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General NPI Number Information
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NPI Number | 1386327542
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Entity Type | Individual
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Provider Name | BENEDICTA AMEYAW
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Gender | Female
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 119 E BALTIMORE AVE
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City | LANSDOWNE
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State | PA
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Zip | 19050-2214
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Country | US
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Telephone | 610-622-8191
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Fax |
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Provider Business Mailing Address
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Address Line | 109 E KNOWLES AVE
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City | GLENOLDEN
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State | PA
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Zip | 19036-1903
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Country | US
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Telephone | 484-904-8936
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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 | RP457685
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License Number State | PA
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