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General NPI Number Information
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NPI Number | 1548386394
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Entity Type | Individual
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Provider Name | BENJAMIN BARCKLEY STOREY JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 8340 COLLIER BLVD #400
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City | NAPLES
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State | FL
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Zip | 34114
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Country | US
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Telephone | 239-333-3200
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Fax | 239-992-5785
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Provider Business Mailing Address
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Address Line | 8340 COLLIER BLVD STE 400
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City | NAPLES
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State | FL
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Zip | 34114-3626
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Country | US
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Telephone | 239-348-4221
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Fax | 239-732-1732
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME115025
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License Number State | FL
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