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NPI 1578379756

NPI 1578379756 : CAMRYN BELLISH : WESTERVILLE, OH

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General NPI Number Information
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    NPI Number           |    1578379756
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    Entity Type          |    Individual 
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    Provider Name        |    CAMRYN BELLISH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/03/2024
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    Last Update Date     |    12/03/2024
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Provider Practice Location Address
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    Address Line         |    6100 N HAMILTON RD 
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    City                 |    WESTERVILLE
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    State                |    OH
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    Zip                  |    43081-2062
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    Country              |    US
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    Telephone            |    614-366-0722
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1362 KINGSGATE RD 
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    City                 |    UPPER ARLINGTON
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    State                |    OH
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    Zip                  |    43221-1503
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    Country              |    US
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    Telephone            |    513-602-2937
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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        |    2251G0304X
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    Taxonomy Name        |    Geriatric Physical Therapist
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    License Number       |    021048
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    License Number State |    OH
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