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General NPI Number Information
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NPI Number | 1316471451
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Entity Type | Individual
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Provider Name | IOAN BELOVARSKI M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 04/15/2017
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 333 H ST STE 2080
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City | CHULA VISTA
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State | CA
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Zip | 91910-5558
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Country | US
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Telephone | 619-662-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 4430 68TH ST
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City | LA MESA
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State | CA
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Zip | 91942-5837
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Country | US
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Telephone | 505-417-2526
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A157748
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License Number State | CA
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