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General NPI Number Information
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NPI Number | 1063831618
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Entity Type | Individual
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Provider Name | NICHOLAS R BELLANCO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 603 MONROE ST
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City | DOVER
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State | OH
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Zip | 44622-2046
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Country | US
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Telephone | 330-364-8889
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Fax | 330-343-7505
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Provider Business Mailing Address
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Address Line | PO BOX 80690
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City | CANTON
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State | OH
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Zip | 44708-0690
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Country | US
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Telephone | 330-363-7444
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Fax | 330-363-7770
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.128647
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35128647
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License Number State | OH
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