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General NPI Number Information
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NPI Number | 1770760639
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Entity Type | Individual
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Provider Name | BINU BENJAMIN BPHARM
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Gender | Female
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 254 HILLSIDE AVE
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City | WILLISTON PARK
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State | NY
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Zip | 11596-2201
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Country | US
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Telephone | 516-739-2982
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Fax | 516-739-1853
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Provider Business Mailing Address
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Address Line | 1747 BROADWAY
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-4055
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Country | US
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Telephone | 516-355-5665
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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 | 050326-1
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License Number State | NY
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