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General NPI Number Information
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NPI Number | 1568699676
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Entity Type | Organization
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Legal Business Name | GREGORY L. BELCHER, M.D., INC
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 18805 COX AVENUE, #110
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City | SARATOGA
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State | CA
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Zip | 95070
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Country | US
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Telephone | 408-379-8141
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Fax | 408-379-8196
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Provider Business Mailing Address
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Address Line | 18805 COX AVENUE, #110
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City | SARATOGA
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State | CA
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Zip | 95070
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Country | US
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Telephone | 408-379-8141
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Fax | 408-379-8196
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Authorized Official
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Title or Position | ORTHOPEDIC SURGEON
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Name | DR. GREGORY LAMONT BELCHER
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Credential | M.D.
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Telephone | 408-379-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | G66631
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | G66631
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License Number State | CA
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