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General NPI Number Information
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NPI Number | 1548647019
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Entity Type | Organization
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Legal Business Name | BENCHMARK PROVIDERS
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 05/04/2015
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Provider Practice Location Address
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Address Line | 1733 SHEEPSHEAD BAY RD SUITE 21
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City | BROOKLYN
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State | NY
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Zip | 11235-3728
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Country | US
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Telephone | 888-868-9137
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Fax | 718-732-2373
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Provider Business Mailing Address
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Address Line | 1733 SHEEPSHEAD BAY RD SUITE 21
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City | BROOKLYN
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State | NY
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Zip | 11235-3728
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Country | US
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Telephone | 888-868-9137
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Fax | 718-732-2373
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Authorized Official
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Title or Position | OWNER
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Name | MRS. POLINA GROMAN
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Credential |
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Telephone | 718-825-6420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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