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General NPI Number Information
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NPI Number | 1225433014
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Entity Type | Individual
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Provider Name | COURTNEY BELLUZZI
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Gender | Female
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 10/26/2018
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Provider Practice Location Address
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Address Line | 110 OREGON RD
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-1232
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Country | US
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Telephone | 518-339-0344
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Fax |
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Provider Business Mailing Address
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Address Line | 404 LUDINGTONVILLE RD
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City | HOLMES
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State | NY
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Zip | 12531-4626
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 337700
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License Number State | NY
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