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General NPI Number Information
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NPI Number | 1063161032
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Entity Type | Individual
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Provider Name | ADAM LELAND BELFORD DDS
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Gender | Male
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 4500 8TH DIVISION RD
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City | COLUMBIA
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State | SC
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Zip | 29207-5700
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Country | US
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Telephone | 803-751-5178
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 WILSON ST
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City | FT. SILL
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State | OK
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Zip | 73503
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Country | US
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Telephone | 580-558-2795
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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 | 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 #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN.00205133
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License Number State | CO
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