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NPI 1144027624

NPI 1144027624 : ANNA R BELLETTIERE : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1144027624
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    Entity Type          |    Individual 
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    Provider Name        |    ANNA R BELLETTIERE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/03/2025
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    1200 PECAN ST SE 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20032-2652
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    Country              |    US
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    Telephone            |    771-444-6200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4250 HUNTERS RUN BLVD 
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    City                 |    READING
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    State                |    PA
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    Zip                  |    19606-9017
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    Country              |    US
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    Telephone            |    610-301-9015
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA200002232
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    License Number State |    DC
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