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General NPI Number Information
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NPI Number | 1578897039
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Entity Type | Organization
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Legal Business Name | BENJAMIN CHEEK MD LLC
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 2000 HAMILTON RD
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City | COLUMBUS
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State | GA
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Zip | 31904-8927
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Country | US
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Telephone | 706-660-4908
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Fax | 706-324-5425
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Provider Business Mailing Address
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Address Line | 2000 HAMILTON RD
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City | COLUMBUS
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State | GA
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Zip | 31904-8927
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Country | US
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Telephone | 706-660-4908
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Fax | 706-324-5425
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. BENJAMIN H CHEEK
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Credential | MD
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Telephone | 706-660-4908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 25332
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License Number State | GA
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