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General NPI Number Information
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NPI Number | 1407371925
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Entity Type | Individual
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Provider Name | JESSICA LYNN BELLINGER DC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2017
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 13453 N MAIN ST STE 102
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City | JACKSONVILLE
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State | FL
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Zip | 32218-2773
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Country | US
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Telephone | 904-854-1004
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Fax | 904-854-1005
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Provider Business Mailing Address
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Address Line | 381 PALM COAST PKWY SW UNIT 2
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City | PALM COAST
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State | FL
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Zip | 32137-4782
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Country | US
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Telephone | 386-264-6800
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Fax | 386-264-6802
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH12126
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License Number State | FL
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