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General NPI Number Information
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NPI Number | 1942629969
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Entity Type | Individual
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Provider Name | BENJAMIN GEDDES MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 2415 MCCALLIE AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3322
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Country | US
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Telephone | 423-624-2696
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Fax | 423-622-6249
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Provider Business Mailing Address
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Address Line | 2415 MCCALLIE AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3322
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Country | US
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Telephone | 423-624-2696
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Fax | 423-622-6249
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 88090
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 52470
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 61037
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License Number State | TN
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