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General NPI Number Information
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NPI Number | 1255334181
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Entity Type | Organization
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Legal Business Name | BELMONT MEDICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 1818 RICHARDSON DR STE A
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City | REIDSVILLE
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State | NC
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Zip | 27320-5450
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Country | US
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Telephone | 336-349-5040
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Fax | 336-369-5368
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Provider Business Mailing Address
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Address Line | 1818 RICHARDSON DR STE A
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City | REIDSVILLE
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State | NC
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Zip | 27320-5450
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Country | US
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Telephone | 336-349-5040
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Fax | 336-369-5368
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Authorized Official
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Title or Position | CPC, DO
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Name | SANDRA C THOMPSON
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Credential |
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Telephone | 336-349-5040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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