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General NPI Number Information
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NPI Number | 1639103047
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Entity Type | Individual
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Provider Name | BRENT B BELVIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 1101 RAINTREE CIR SUITE 240
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City | ALLEN
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State | TX
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Zip | 75013-4922
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Country | US
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Telephone | 214-383-9270
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Fax | 214-383-9271
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Provider Business Mailing Address
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Address Line | 1101 RAINTREE CIR STE 240
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City | ALLEN
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State | TX
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Zip | 75013-4926
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Country | US
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Telephone | 214-383-9270
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Fax | 214-383-9271
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | L2799
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License Number State | TX
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