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General NPI Number Information
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NPI Number | 1063641439
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Entity Type | Organization
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Legal Business Name | ANNMARIE L. BELMONTE, PSYD
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 105 W MAIN ST
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City | SAINT CHARLES
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State | IL
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Zip | 60174-1809
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Country | US
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Telephone | 847-971-6941
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 HAWKINS CT
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City | SAINT CHARLES
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State | IL
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Zip | 60174-5817
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Country | US
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Telephone | 847-971-6941
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ANNMARIE L BELMONTE
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Credential | PSYD
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Telephone | 847-971-6941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071007320
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License Number State | IL
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