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General NPI Number Information
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NPI Number | 1164427969
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Entity Type | Individual
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Provider Name | CHAD MICHAEL BELANGER OD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 780 N MAIN ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-5706
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Country | US
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Telephone | 401-331-2020
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Fax | 314-741-4947
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Provider Business Mailing Address
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Address Line | 131 MAIN ST
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City | ONEIDA
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State | NY
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Zip | 13421-1645
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Country | US
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Telephone | 225-328-2499
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Fax | 225-328-2499
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1390521T
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV008866
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT7131
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ODTG00763
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License Number State | RI
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