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General NPI Number Information
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NPI Number | 1962527069
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Entity Type | Individual
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Provider Name | BENJAMIN GEORGE PATRICK FERREE PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 900 MAIN STREET
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City | LIMON
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State | CO
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Zip | 80828-0609
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Country | US
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Telephone | 719-775-2371
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Fax | 719-775-0624
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Provider Business Mailing Address
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Address Line | 549 INDIANA AVE
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City | LIMON
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State | CO
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Zip | 80828-2203
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Country | US
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Telephone | 719-740-0821
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Fax | 719-775-0624
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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 | 17353
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License Number State | CO
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