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General NPI Number Information
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NPI Number | 1770595787
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Entity Type | Individual
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Provider Name | BENG CHEAH LIGHT M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 10 E LEE ST 2106
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City | BALTIMORE
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State | MD
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Zip | 21202-6003
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Country | US
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Telephone | 410-752-1873
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Fax |
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Provider Business Mailing Address
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Address Line | 46 WALNUT DR
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City | ORWIGSBURG
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State | PA
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Zip | 17961-9162
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Country | US
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Telephone | 570-294-0242
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0034922
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License Number State | MD
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