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General NPI Number Information
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NPI Number | 1427044015
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Entity Type | Individual
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Provider Name | RICK D BELLER MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 1701 RENAISSANCE BLVD SUITE 100
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City | EDMOND
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State | OK
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Zip | 73013-3084
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Country | US
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Telephone | 405-348-3434
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Fax | 405-341-9429
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Provider Business Mailing Address
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Address Line | 720 S. COLORADO BLVD SUITE 220A
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City | GLENDALE
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State | CO
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Zip | 80246-1912
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Country | US
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Telephone | 405-348-3434
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Fax | 405-341-9429
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 10007
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 10007
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License Number State | OK
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