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General NPI Number Information
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NPI Number | 1417953423
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Entity Type | Individual
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Provider Name | BENJAMIN W REESE MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 1601 BRENNER AVE 11A W.G. BILL HEFNER MEDICAL CENTER
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City | SALISBURY
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State | NC
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Zip | 28144
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Country | US
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Telephone | 704-638-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 907 CHEROKEE PL SW
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City | LENOIR
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State | NC
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Zip | 28645-5803
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 98-00370
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License Number State | NC
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