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General NPI Number Information
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NPI Number | 1952626871
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Entity Type | Individual
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Provider Name | BENJAMIN A PARDO RPH
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Gender | Male
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Dates
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Enumeration Date | 04/03/2010
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Last Update Date | 01/04/2026
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Provider Practice Location Address
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Address Line | 747 MONTAUK HWY
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-5423
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Country | US
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Telephone | 631-654-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 198 HILLSIDE AVE
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City | MINEOLA
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State | NY
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Zip | 11501-2118
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Country | US
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Telephone | 516-414-3586
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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 | 024023
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License Number State | NY
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