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General NPI Number Information
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NPI Number | 1598824799
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Entity Type | Individual
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Provider Name | DAVID THOMAS BENNER R.PH.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 501 MEDICAL CENTER BLVD
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City | WEBSTER
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State | TX
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Zip | 77598-4219
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Country | US
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Telephone | 281-316-4926
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Fax | 281-316-4991
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Provider Business Mailing Address
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Address Line | 2307 HAVERHILL DR
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City | HOUSTON
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State | TX
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Zip | 77008-3028
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Country | US
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Telephone | 713-861-6996
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Fax | 281-316-4926
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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 | 31550
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License Number State | TX
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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 | RP31661L
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License Number State | PA
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