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General NPI Number Information
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NPI Number | 1043269327
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Entity Type | Individual
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Provider Name | ROBERT BEN JOLLEY JR. MD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | NORTON COMMUNITY HOSPITAL 100 15TH ST NW
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City | NORTON
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State | VA
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Zip | 24273
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Country | US
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Telephone | 276-439-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 MUDDY FORD RD
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City | CHAPIN
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State | SC
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Zip | 29036-7833
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Country | US
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Telephone | 803-920-3754
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 62415
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 12868
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 62415
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12868
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101273347
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 306386
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101273347
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License Number State | VA
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