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General NPI Number Information
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NPI Number | 1174669360
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Entity Type | Individual
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Provider Name | BELA YURI BOCHKAREV M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/24/2011
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Provider Practice Location Address
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Address Line | 6 GENTRY LN
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City | UXBRIDGE
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State | MA
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Zip | 01569-1612
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Country | US
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Telephone | 508-278-3174
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Fax |
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Provider Business Mailing Address
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Address Line | 5665 ATLANTA HIGHWAY SUITE 103-102
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City | ALPHARETTA
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State | GA
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Zip | 30004
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Country | US
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Telephone | 800-980-6511
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Fax | 866-783-1708
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 156487
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 14125
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD031267E
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101036211
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License Number State | VA
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