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General NPI Number Information
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NPI Number | 1225251127
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Entity Type | Organization
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Legal Business Name | BELMONT MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4881 E BELMONT AVE
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City | FRESNO
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State | CA
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Zip | 93727-2324
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Country | US
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Telephone | 559-456-3955
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Fax | 559-456-9931
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Provider Business Mailing Address
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Address Line | 4881 E BELMONT AVE
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City | FRESNO
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State | CA
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Zip | 93727-2324
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Country | US
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Telephone | 559-456-3955
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Fax | 559-456-9931
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | HONG V KHOEUR
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Credential | PA
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Telephone | 559-456-3955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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