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General NPI Number Information
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NPI Number | 1811140379
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Entity Type | Individual
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Provider Name | BENJAMIN SETH HAMMONDS PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 1339 WOODLAND COVE PL NE
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City | CLEVELAND
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State | TN
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Zip | 37312-5851
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Country | US
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Telephone | 423-479-6284
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Fax |
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Provider Business Mailing Address
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Address Line | 1339 WOODLAND COVE PL NE
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City | CLEVELAND
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State | TN
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Zip | 37312-5851
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Country | US
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Telephone | 423-479-6284
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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 | 29332
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License Number State | TN
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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 | RPH023709
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License Number State | GA
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