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General NPI Number Information
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NPI Number | 1457565376
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Entity Type | Individual
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Provider Name | LIA BELLO FNP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HC 81 BOX 6023
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City | QUESTA
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State | NM
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Zip | 87556-9715
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Country | US
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Telephone | 505-586-1166
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Fax |
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Provider Business Mailing Address
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Address Line | HC 81 BOX 6023
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City | QUESTA
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State | NM
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Zip | 87556-9715
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Country | US
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Telephone | 505-586-1166
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R44137
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024073425
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License Number State | VA
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