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General NPI Number Information
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NPI Number | 1134335110
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Entity Type | Organization
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Legal Business Name | PHILIP R BELZUNCE PHD INC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 22380 BERRY DR
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City | ROCKY RIVER
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State | OH
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Zip | 44116-2016
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Country | US
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Telephone | 440-333-4105
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Fax | 440-398-2623
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Provider Business Mailing Address
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Address Line | 22380 BERRY DR
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City | ROCKY RIVER
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State | OH
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Zip | 44116-2016
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Country | US
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Telephone | 440-333-4105
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Fax | 440-398-2623
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Authorized Official
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Title or Position | PSYCHOLOGIST OWNER
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Name | DR. PHILIP RUIZ BELZUNCE
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Credential | PH.D. PSYCHOLOGIST
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Telephone | 440-333-4105
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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 | 3238
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3230
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License Number State | OH
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