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General NPI Number Information
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NPI Number | 1235498064
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Entity Type | Individual
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Provider Name | BRANDIS BELT MD
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Gender | Female
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Dates
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Enumeration Date | 05/14/2012
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 110 REHILL AVE
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2519
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Country | US
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Telephone | 908-685-2900
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Fax | 732-463-5512
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Provider Business Mailing Address
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Address Line | 379 CAMPUS DR FL 4
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City | SOMERSET
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State | NJ
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Zip | 08873-1161
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Country | US
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Telephone | 732-937-8939
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Fax | 732-418-8372
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 272986
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA10132200
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License Number State | NJ
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