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General NPI Number Information
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NPI Number | 1548543093
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Entity Type | Individual
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Provider Name | CHELSIE RAE BENTZ PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 2260 W COUNTY ROAD 500 S
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City | NORTH VERNON
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State | IN
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Zip | 47265-6863
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Country | US
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Telephone | 812-352-1326
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Fax |
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Provider Business Mailing Address
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Address Line | 2260 W COUNTY ROAD 500 S
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City | NORTH VERNON
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State | IN
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Zip | 47265-6863
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Country | US
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Telephone | 812-352-1326
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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 | 26023246A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 014605
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License Number State | KY
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