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General NPI Number Information
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NPI Number | 1073185062
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Entity Type | Individual
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Provider Name | BELINA PATEL DMD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2021
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Last Update Date | 07/11/2021
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Provider Practice Location Address
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Address Line | 4753 VALLEY VIEW BLVD NW
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City | ROANOKE
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State | VA
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Zip | 24012-2004
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Country | US
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Telephone | 540-390-7466
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Fax |
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Provider Business Mailing Address
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Address Line | 2560 ORANGE AVE NE APT 202
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City | ROANOKE
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State | VA
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Zip | 24012-6289
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Country | US
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Telephone | 703-624-0447
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401417565
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License Number State | VA
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