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General NPI Number Information
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NPI Number | 1447749197
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Entity Type | Individual
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Provider Name | BELINDA JOYCE GAINES DMD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 06/27/2020
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Provider Practice Location Address
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Address Line | 701 N BROADWAY
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1020
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Country | US
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Telephone | 914-594-2124
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Fax |
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Provider Business Mailing Address
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Address Line | 78 VALLEY RD APT 4
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City | COS COB
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State | CT
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Zip | 06807-2553
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Country | US
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Telephone | 303-214-8078
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12696
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License Number State | CT
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