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General NPI Number Information
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NPI Number | 1649105883
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Entity Type | Individual
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Provider Name | EMMA ELIZABETH BELLISSIMO
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Gender | Female
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 1163 COUNTRY CLUB RD
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City | MONONGAHELA
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State | PA
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Zip | 15063-1013
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Country | US
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Telephone | 724-258-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 315 WILDWIND DR
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City | ROSTRAVER TOWNSHIP
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State | PA
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Zip | 15012-9647
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Country | US
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Telephone | 724-208-8865
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | PA
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