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General NPI Number Information
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NPI Number | 1417733908
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Entity Type | Individual
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Provider Name | COURTNEY BENEDICT PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 545 S BUSINESS HIGHWAY 13
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City | LEXINGTON
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State | MO
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Zip | 64067-1437
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Country | US
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Telephone | 660-259-3455
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Fax | 660-259-2424
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Provider Business Mailing Address
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Address Line | 604 MUSKET DR
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City | LAWSON
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State | MO
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Zip | 64062-9224
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Country | US
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Telephone | 816-651-7464
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 2023036106
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License Number State | MO
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