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General NPI Number Information
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NPI Number | 1619681384
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Entity Type | Organization
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Legal Business Name | BELLAMY FAMILY HEALTHCARE
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 150 FAIRVIEW RD
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City | MOORESVILLE
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State | NC
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Zip | 28117-9504
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Country | US
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Telephone | 704-876-5082
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Fax |
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Provider Business Mailing Address
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Address Line | 150 FAIRVIEW RD STE 300
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City | MOORESVILLE
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State | NC
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Zip | 28117-9513
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Country | US
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Telephone | 704-981-8020
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Fax | 186-611-3039
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MRS. MELISSA BELLAMY
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Credential | FNP-C
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Telephone | 704-746-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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