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General NPI Number Information
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NPI Number | 1093769598
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Entity Type | Organization
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Legal Business Name | PAUL I BELITZ DPM PC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 26 FIREMANS MEMORIAL DR SUITE 111
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City | POMONA
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State | NY
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Zip | 10970-3553
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Country | US
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Telephone | 845-354-2600
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Fax | 845-354-2637
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Provider Business Mailing Address
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Address Line | 26 FIREMANS MEMORIAL DR SUITE 111
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City | POMONA
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State | NY
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Zip | 10970-3553
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Country | US
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Telephone | 845-354-2600
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Fax | 845-354-2637
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL I BELITZ
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Credential | DPM
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Telephone | 845-354-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N0055261-1
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License Number State | NY
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