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General NPI Number Information
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NPI Number | 1568005262
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Entity Type | Individual
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Provider Name | BENJAMIN CRUZ ARENAS PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 117 CAMINO DE VIDA STE 200
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City | SANTA ROSA
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State | NM
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Zip | 88435-2267
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Country | US
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Telephone | 575-472-5666
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Fax | 575-472-9666
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Provider Business Mailing Address
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Address Line | 117 CAMINO DE VIDA STE 200
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City | SANTA ROSA
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State | NM
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Zip | 88435-2267
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Country | US
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Telephone | 575-472-5666
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Fax | 575-472-9666
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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 | RP00008760
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License Number State | NM
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