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General NPI Number Information
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NPI Number | 1619570140
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Entity Type | Individual
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Provider Name | KATHRYN LEE BENDER PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 777 ROGERS ST
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City | LOWELL
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State | MA
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Zip | 01852-4336
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Country | US
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Telephone | 978-453-7252
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Fax |
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Provider Business Mailing Address
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Address Line | 16R RADCLIFFE RD
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City | BILLERICA
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State | MA
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Zip | 01821-3243
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Country | US
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Telephone | 508-733-8889
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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 | PR27841
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License Number State | ME
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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 | PH27517
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License Number State | MA
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