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General NPI Number Information
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NPI Number | 1326914284
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Entity Type | Individual
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Provider Name | NICOLE ANDREA BELLONZI
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Gender | Female
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 10051 5TH ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2289
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Country | US
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Telephone | 813-978-9700
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Fax | 813-558-6185
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Provider Business Mailing Address
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Address Line | 8222 COURTLEIGH DR
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City | ORLANDO
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State | FL
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Zip | 32835-5936
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Country | US
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Telephone | 507-506-6146
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9120871
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License Number State | FL
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