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General NPI Number Information
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NPI Number | 1275591703
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Entity Type | Individual
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Provider Name | MARIE CERVELLERO BELANGER MSN, FNP- PMHNP- BC
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3064 WAKE FOREST RD # 1271
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City | RALEIGH
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State | NC
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Zip | 27609-7844
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Country | US
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Telephone | 415-360-3348
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Fax | 571-376-6798
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Provider Business Mailing Address
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Address Line | 2261 MARKET ST STE 10222
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1612
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Country | US
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Telephone | 415-360-3348
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Fax | 571-376-6798
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201425
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201425
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License Number State | NC
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