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General NPI Number Information
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NPI Number | 1891013256
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Entity Type | Individual
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Provider Name | BENJAMIN THOMAS CARBONE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 38 NH ROUTE 25
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City | MEREDITH
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State | NH
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Zip | 03253-6335
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Country | US
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Telephone | 603-279-4551
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Fax | 603-279-3060
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Provider Business Mailing Address
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Address Line | 38 NH ROUTE 25
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City | MEREDITH
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State | NH
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Zip | 03253-6335
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Country | US
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Telephone | 603-279-4551
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Fax | 603-279-3060
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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 | 3590
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License Number State | NH
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