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General NPI Number Information
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NPI Number | 1265520878
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Entity Type | Individual
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Provider Name | MARY FERGUSON BELMONT ED.D, N.P.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 520 E 72ND ST APARTMENT 3D
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City | NEW YORK
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State | NY
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Zip | 10021-4849
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Country | US
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Telephone | 212-737-3886
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Fax |
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Provider Business Mailing Address
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Address Line | 520 E 72ND ST APARTMENT 3D
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City | NEW YORK
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State | NY
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Zip | 10021-4849
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Country | US
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Telephone | 212-737-3886
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 247781
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 247781
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 340273
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License Number State | NY
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