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General NPI Number Information
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NPI Number | 1659446722
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Entity Type | Individual
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Provider Name | GEROME ALEX CLEEFORD BELIARD MD
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 5308 S JOHN YOUNG PKWY STE 300
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City | ORLANDO
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State | FL
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Zip | 32839-7362
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Country | US
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Telephone | 407-846-4882
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Fax | 407-355-3383
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Provider Business Mailing Address
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Address Line | 5308 S JOHN YOUNG PKWY STE 300
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City | ORLANDO
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State | FL
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Zip | 32839-7362
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Country | US
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Telephone | 407-846-4882
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Fax | 407-355-3383
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME92935
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License Number State | FL
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