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General NPI Number Information
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NPI Number | 1548996366
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Entity Type | Organization
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Legal Business Name | BELMAR CARDIOPULMONARY DIAGNOSTIC CENTER LLC
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 520 112TH AVE NE
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City | BELLEVUE
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State | WA
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Zip | 98004-5558
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Country | US
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Telephone | 206-730-9364
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Fax |
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Provider Business Mailing Address
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Address Line | 520 112TH AVE NE
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City | BELLEVUE
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State | WA
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Zip | 98004-5558
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Country | US
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Telephone | 206-730-9364
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. GEORGE D. EARLEY IV
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Credential | RCP RRT CPFT
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Telephone | 910-703-0928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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