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General NPI Number Information
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NPI Number | 1154729648
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Entity Type | Individual
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Provider Name | REBECCA MARA BELWAY PA-C, MPH
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Gender | Female
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 04/06/2025
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Provider Practice Location Address
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Address Line | 660 BANNOCK ST STE 6335
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City | DENVER
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State | CO
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Zip | 80204-4506
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Country | US
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Telephone | 970-721-1677
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Fax | 303-602-1664
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Provider Business Mailing Address
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Address Line | 2985 ASH ST
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City | DENVER
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State | CO
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Zip | 80207-2608
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Country | US
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Telephone | 415-810-7144
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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 | PA.0005253
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License Number State | CO
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