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General NPI Number Information
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NPI Number | 1487741724
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Entity Type | Organization
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Legal Business Name | BELMONT COURT DIALYSIS CENTER INC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 252 BELMONT AVE
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City | DOYLESTOWN
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State | PA
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Zip | 18901-4459
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Country | US
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Telephone | 215-348-7333
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Fax | 215-348-0396
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Provider Business Mailing Address
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Address Line | 2500 BOULEVARD OF THE GENERALS DOYLESTOWN CAMPUS
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City | NORRISTOWN
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State | PA
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Zip | 19403-3692
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Country | US
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Telephone | 610-630-1515
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Fax | 610-630-6839
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MRS. JENNIFER L BAMGBOSE
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Credential |
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Telephone | 610-630-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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