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General NPI Number Information
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NPI Number | 1558218693
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Entity Type | Individual
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Provider Name | ROBERT A BELLANTONE PH.D., R.PH.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 30 RAMLAND RD S STE 105
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City | ORANGEBURG
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State | NY
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Zip | 10962-2626
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Country | US
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Telephone | 914-715-6103
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Fax | 914-885-0948
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Provider Business Mailing Address
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Address Line | 116 GREAT HILL DR
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City | BETHEL
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State | CT
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Zip | 06801-1902
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Country | US
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Telephone | 914-715-6103
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Fax | 914-885-0948
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 5077
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License Number State | CT
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