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General NPI Number Information
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NPI Number | 1326244328
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Entity Type | Individual
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Provider Name | DANIELLE BELOSO PSYCHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 01/20/2014
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Provider Practice Location Address
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Address Line | 2555 E 55TH PL SUITE 202
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3549
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Country | US
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Telephone | 317-931-9241
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Fax |
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Provider Business Mailing Address
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Address Line | 2555 E 55TH PL SUITE 202
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3549
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Country | US
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Telephone | 317-931-9241
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4709
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 018052
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | CP1284
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 20042422A
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License Number State | IN
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