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General NPI Number Information
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NPI Number | 1275591182
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Entity Type | Individual
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Provider Name | CARL JAMES BELOCK DPM
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 7575 COLD HARBOR RD SUITE 2-A
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-1600
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Country | US
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Telephone | 804-730-1300
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Fax | 804-730-8843
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Provider Business Mailing Address
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Address Line | 4619 KAYHOE RD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-3532
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Country | US
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Telephone | 804-217-6574
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103300949
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 07001004A
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License Number State | IN
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