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General NPI Number Information
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NPI Number | 1497831721
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Entity Type | Individual
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Provider Name | CHARLES BENJAMIN KING MD
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Gender | Male
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Dates
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Enumeration Date | 10/30/2006
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Last Update Date | 09/17/2009
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Provider Practice Location Address
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Address Line | 430 EAST MAIN STREET
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City | BATAVIA
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State | NY
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Zip | 14020
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Country | US
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Telephone | 585-343-1124
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Fax | 585-343-1197
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Provider Business Mailing Address
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Address Line | 24 BOX CAR DR
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City | NORTH CHILI
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State | NY
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Zip | 14514-9796
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Country | US
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Telephone | 585-293-8123
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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 | 177324
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 177324
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 177324
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License Number State | NY
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