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General NPI Number Information
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NPI Number | 1316105133
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Entity Type | Organization
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Legal Business Name | BELLEFONTE PHYSICIAN SERVICES, INC.
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 1000 ASHLAND DR STE. 303
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City | ASHLAND
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State | KY
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Zip | 41101-7084
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Country | US
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Telephone | 606-325-0753
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Fax | 606-325-0757
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Provider Business Mailing Address
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Address Line | PO BOX 2155
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City | ASHLAND
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State | KY
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Zip | 41105-2155
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Country | US
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Telephone | 606-325-0753
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | TROY CONNETT
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Credential |
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Telephone | 606-833-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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