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General NPI Number Information
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NPI Number | 1225017577
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Entity Type | Individual
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Provider Name | KRIS MATTHEW BELLAND D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3600 RIVERS AVE NAVAL HOSPITAL CHARLESTON
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-7747
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Country | US
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Telephone | 843-743-7961
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Fax | 843-743-7930
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Provider Business Mailing Address
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Address Line | 3600 RIVERS AVE NAVAL HOSPITAL CHARLESTON
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-7747
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Country | US
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Telephone | 843-743-7961
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Fax | 843-743-7930
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A5935
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License Number State | CA
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