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General NPI Number Information
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NPI Number | 1437284007
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Entity Type | Individual
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Provider Name | VINCENT JOHN BELLWOAR PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 126 W MINER ST
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City | WEST CHESTER
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State | PA
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Zip | 19382-3216
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Country | US
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Telephone | 484-731-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 4731 BONITA BAY BLVD UNIT 903
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-6713
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Country | US
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Telephone | 484-731-0000
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS006087-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 006087-L
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License Number State | PA
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