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NPI 1891419404

NPI 1891419404 : BENJAMIN E BABINEC RPH : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1891419404
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    Entity Type          |    Individual 
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    Provider Name        |    BENJAMIN E BABINEC RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/27/2022
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    Last Update Date     |    09/27/2022
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Provider Practice Location Address
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    Address Line         |    9070 SAINT CHARLES ROCK RD 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63114-4246
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    Country              |    US
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    Telephone            |    314-733-0607
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7401 ZEPHYR PL APT 2E 
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    City                 |    MAPLEWOOD
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    State                |    MO
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    Zip                  |    63143-2027
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    Country              |    US
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    Telephone            |    224-422-8525
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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       |    2021033770
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    License Number State |    MO
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