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General NPI Number Information
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NPI Number | 1457477614
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Entity Type | Organization
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Legal Business Name | BELPRE MEDICAL CLINIC INC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 206 MAPLE STREET
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City | BELPRE
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State | OH
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Zip | 45714
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Country | US
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Telephone | 740-423-8701
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Fax | 740-423-9985
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Provider Business Mailing Address
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Address Line | PO BOX 128 206 MAPLE STREET
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City | BELPRE
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State | OH
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Zip | 45714
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Country | US
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Telephone | 740-423-8701
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Fax | 740-423-9985
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARL PAUL ZELINKA SR.
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Credential | DO
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Telephone | 740-423-8701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1355
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License Number State | OH
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