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General NPI Number Information
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NPI Number | 1437759263
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Entity Type | Individual
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Provider Name | JOHN BELEW
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Gender | Male
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 1228 N HIGHWAY 377
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City | ROANOKE
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State | TX
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Zip | 76262-9122
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Country | US
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Telephone | 682-831-1957
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Fax |
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Provider Business Mailing Address
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Address Line | 12709 OAKVALE TRL
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City | FORT WORTH
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State | TX
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Zip | 76244-1879
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 33003
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 65815
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License Number State | TX
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