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General NPI Number Information
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NPI Number | 1528386497
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Entity Type | Organization
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Legal Business Name | BELMONT SURGERY CENTER, L.L.C.
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 5530 WISCONSIN AVE SUITE 818
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4404
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Country | US
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Telephone | 301-654-5666
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Fax | 301-654-5552
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Provider Business Mailing Address
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Address Line | 5530 WISCONSIN AVE SUITE 818
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4404
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Country | US
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Telephone | 301-654-5666
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Fax | 301-654-5552
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JULES A FELEDY JR.
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Credential | M.D.
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Telephone | 301-654-5666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | A1513
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License Number State | MD
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