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General NPI Number Information
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NPI Number | 1033508718
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Entity Type | Organization
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Legal Business Name | BRIAN BELNAP DO, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/17/2015
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 4405 MANCHESTER AVE STE 101
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City | ENCINITAS
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State | CA
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Zip | 92024-4940
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Country | US
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Telephone | 760-650-4040
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Fax | 760-650-4057
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Provider Business Mailing Address
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Address Line | 4405 MANCHESTER AVE STE 101
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City | ENCINITAS
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State | CA
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Zip | 92024-4940
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Country | US
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Telephone | 760-650-4040
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Fax | 760-650-4057
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Authorized Official
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Title or Position | CEO
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Name | DR. BRIAN BELNAP
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Credential | D.O.
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Telephone | 760-650-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 20A10439
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License Number State | CA
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