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General NPI Number Information
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NPI Number | 1417083593
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Entity Type | Individual
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Provider Name | MR. BENJAMIN STONESIFER
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 105 S 3RD ST
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City | MC CONNELLSBURG
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State | PA
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Zip | 17233-1419
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Country | US
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Telephone | 717-485-3622
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Fax | 717-485-5176
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Provider Business Mailing Address
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Address Line | 4095 FRECON RD
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-9777
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Country | US
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Telephone | 717-264-7310
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Fax | 717-485-5176
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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 | RP032761L
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License Number State | PA
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