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General NPI Number Information
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NPI Number | 1437651346
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Entity Type | Individual
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Provider Name | VERONICA DENISE BELLAMY LICDC 161589
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Gender | Female
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 1580 STATE ROUTE 56 SW
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City | LONDON
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State | OH
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Zip | 43140-8623
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Country | US
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Telephone | 740-852-2454
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Fax |
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Provider Business Mailing Address
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Address Line | 6745 COLONIAL CT
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City | COLUMBUS
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State | OH
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Zip | 43229-1499
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Country | US
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Telephone | 614-256-9690
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 161589
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License Number State | OH
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