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General NPI Number Information
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NPI Number | 1235137225
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Entity Type | Organization
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Legal Business Name | CAROLINE BELIVEAU, MD, INC.
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 484 HIGHLAND AVE
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City | FALL RIVER
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State | MA
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Zip | 02720-3704
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Country | US
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Telephone | 508-679-2555
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Fax | 508-672-5442
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Provider Business Mailing Address
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Address Line | 484 HIGHLAND AVE
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City | FALL RIVER
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State | MA
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Zip | 02720-3704
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Country | US
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Telephone | 508-679-2555
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Fax | 508-672-5442
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAROLINE A BELIVEAU
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Credential | MD
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Telephone | 508-679-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | G4-3582296
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License Number State | MA
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