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General NPI Number Information
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NPI Number | 1265106108
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Entity Type | Individual
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Provider Name | SEBASTIAN BLAIR BELLITTO DPT
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Gender | Male
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 4940 HAMPDEN LN # 201
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City | BETHESDA
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State | MD
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Zip | 20814-2945
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Country | US
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Telephone | 240-686-5609
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Fax |
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Provider Business Mailing Address
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Address Line | 12503 ARDENNES AVE APT 386
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City | ROCKVILLE
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State | MD
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Zip | 20852-2097
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Country | US
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Telephone | 716-450-0262
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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