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General NPI Number Information
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NPI Number | 1689345449
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Entity Type | Individual
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Provider Name | KEITH L BELVIN MHSC, MS ED.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 413 HIGH ST
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City | SEAFORD
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State | DE
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Zip | 19973-3923
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Country | US
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Telephone | 302-394-6051
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Fax | 302-485-5887
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Provider Business Mailing Address
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Address Line | 1041 N DUPONT HWY # 1276
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City | DOVER
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State | DE
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Zip | 19901-2006
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Country | US
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Telephone | 302-314-3802
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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