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General NPI Number Information
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NPI Number | 1235536780
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Entity Type | Individual
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Provider Name | JUDITH KRISTINA BELZER
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Gender | Female
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Dates
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Enumeration Date | 11/28/2014
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Last Update Date | 11/28/2014
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Provider Practice Location Address
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Address Line | 3153 W HILL RD
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City | FLINT
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State | MI
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Zip | 48507-3861
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Country | US
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Telephone | 248-885-0243
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Fax |
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Provider Business Mailing Address
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Address Line | 3153 W HILL RD
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City | FLINT
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State | MI
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Zip | 48507-3861
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Country | US
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Telephone | 248-885-0243
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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 | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | 6301016056
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License Number State | MH
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