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General NPI Number Information
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NPI Number | 1003030347
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Entity Type | Individual
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Provider Name | ERIC BELIZAIRE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2331 N STATE ROAD 7 STE 206
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-3772
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Country | US
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Telephone | 954-677-0393
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Fax | 866-862-4675
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Provider Business Mailing Address
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Address Line | 2331 N STATE ROAD 7 STE 206
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-3772
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Country | US
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Telephone | 954-677-0393
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Fax | 866-862-4675
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME88781
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License Number State | FL
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