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General NPI Number Information
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NPI Number | 1144488933
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Entity Type | Organization
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Legal Business Name | SERGIO R BELLO MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 06/12/2009
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Provider Practice Location Address
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Address Line | 1 SHRADER ST 600
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1016
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Country | US
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Telephone | 415-392-1386
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1134
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City | MILL VALLEY
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State | CA
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Zip | 94942-1134
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. SERGIO R BELLO
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Credential | MD
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Telephone | 415-392-1386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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