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General NPI Number Information
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NPI Number | 1770635252
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Entity Type | Individual
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Provider Name | DAPHNE BENSON
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CALLE SANTIAGO # 61 N
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-737-8188
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Fax | 787-737-3330
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Provider Business Mailing Address
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Address Line | 131 PASEO BARCELONA URB. SAVANNAH REAL
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City | SAN LORENZO
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State | PR
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Zip | 00754
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Country | US
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Telephone | 787-365-4030
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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 | 4844
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License Number State | PR
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