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General NPI Number Information
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NPI Number | 1366559189
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Entity Type | Individual
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Provider Name | NEVA BELLAMY D.C.P., NPP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 29 RUSTIC RD
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City | YAPHANK
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State | NY
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Zip | 11980-9754
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Country | US
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Telephone | 631-566-4325
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 448
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City | WADING RIVER
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State | NY
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Zip | 11792-0448
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Country | US
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Telephone | 631-566-4325
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F400955-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 453601
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License Number State | NY
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