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General NPI Number Information
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NPI Number | 1386252716
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Entity Type | Individual
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Provider Name | GREGORY M BELZAK RD, RDN
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Gender | Male
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 7393 TAFT PARK DR
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-9639
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Country | US
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Telephone | 315-288-6033
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Fax | 315-310-6235
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Provider Business Mailing Address
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Address Line | 7393 TAFT PARK DR
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-9639
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Country | US
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Telephone | 315-288-6033
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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