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General NPI Number Information
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NPI Number | 1588095038
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Entity Type | Individual
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Provider Name | CONNIE BELFORD C.N.P.
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Gender | Female
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Dates
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Enumeration Date | 12/10/2013
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 606 E GARFIELD AVE STE C
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City | GETTYSBURG
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State | SD
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Zip | 57442-1325
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Country | US
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Telephone | 605-765-2273
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Fax | 605-765-2474
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Provider Business Mailing Address
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Address Line | 606 E GARFIELD AVE
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City | GETTYSBURG
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State | SD
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Zip | 57442-1325
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Country | US
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Telephone | 605-765-2273
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Fax | 605-765-2474
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R 0057542
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SD-CNP CP000830
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License Number State | SD
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