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General NPI Number Information
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NPI Number | 1043697238
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Entity Type | Individual
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Provider Name | LAURA BELLAND M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 11/05/2022
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Provider Practice Location Address
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Address Line | 267 GRANT ST
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City | BRIDGEPORT
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State | CT
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Zip | 06610-2805
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Country | US
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Telephone | 203-384-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 401 COMMONS PARK S UNIT 684
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City | STAMFORD
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State | CT
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Zip | 06902-7142
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Country | US
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Telephone | 513-315-1274
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 65118
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 294135
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 294135
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 65118
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License Number State | CT
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