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General NPI Number Information
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NPI Number | 1346895489
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Entity Type | Individual
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Provider Name | BENJAMIN CHI MD
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Gender | Male
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 111 MASON FARM RD # 4300B
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City | CHAPEL HILL
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State | NC
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Zip | 27599-6136
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Country | US
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Telephone | 919-445-4174
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Fax |
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Provider Business Mailing Address
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Address Line | CAMPUS BOX 7570 111 MASON FARM RD, MBRB 4300B
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City | CHAPEL HILL
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State | NC
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Zip | 27599
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2016-00213
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License Number State | NC
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