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General NPI Number Information
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NPI Number | 1528267010
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Entity Type | Individual
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Provider Name | JEFFREY HOWARD BELABIN PHYSICIAN ASSISTANT
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Gender | Male
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 21081 S WESTERN AVE STE 150
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City | TORRANCE
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State | CA
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Zip | 90501-1707
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Country | US
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Telephone | 107-823-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 21081 S WESTERN AVE STE 150
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City | TORRANCE
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State | CA
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Zip | 90501-1707
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Country | US
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Telephone | 107-823-3333
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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 | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number | 9010384
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9101384
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 53052
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License Number State | CA
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