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General NPI Number Information
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NPI Number | 1700921822
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Entity Type | Individual
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Provider Name | JEFFREY D BELZ DDS
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 642 UPTOWN BLVD SUITE 160
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City | CEDAR HILL
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State | TX
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Zip | 75104-3519
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Country | US
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Telephone | 469-272-8505
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Fax | 469-272-8508
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Provider Business Mailing Address
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Address Line | 642 UPTOWN BLVD SUITE 160
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City | CEDAR HILL
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State | TX
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Zip | 75104-3519
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Country | US
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Telephone | 469-272-8505
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Fax | 469-272-8508
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 15771
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License Number State | TX
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