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General NPI Number Information
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NPI Number | 1386979243
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Entity Type | Organization
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Legal Business Name | BENJAMIN PUMPHREY MD PLLC
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Dates
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Enumeration Date | 10/12/2009
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Last Update Date | 08/13/2011
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Provider Practice Location Address
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Address Line | 120 W NELSON ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2036
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Country | US
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Telephone | 267-357-4186
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Fax |
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Provider Business Mailing Address
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Address Line | 71 WILSON BLVD
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2283
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Country | US
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Telephone | 267-357-4186
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/MANAGER
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Name | DR. BENJAMIN PUMPHREY
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Credential | MD
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Telephone | 540-463-4079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 0101245066
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License Number State | VA
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