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General NPI Number Information
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NPI Number | 1508479320
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Entity Type | Individual
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Provider Name | DANICA BROOKLYN BENSON PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 3801 N MARKET ST
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City | WILMINGTON
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State | DE
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Zip | 19802-2215
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Country | US
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Telephone | 302-762-1127
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Fax |
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Provider Business Mailing Address
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Address Line | 27A MARTINE CT
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City | NEWARK
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State | DE
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Zip | 19711-6003
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Country | US
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Telephone | 484-764-4324
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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 | A1-0015533
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License Number State | DE
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