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General NPI Number Information
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NPI Number | 1700964749
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Entity Type | Individual
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Provider Name | ERIN L. BELFORT MD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 66 BRAMHALL STREET
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City | PORTLAND
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State | ME
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Zip | 04102-3344
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Country | US
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Telephone | 207-662-3101
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Fax | 207-662-6783
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Provider Business Mailing Address
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Address Line | 25 MIDDLE ST
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City | PORTLAND
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State | ME
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Zip | 04101-4869
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Country | US
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Telephone | 207-705-3676
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Fax | 207-705-3677
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD19358
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD19358
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 234661
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License Number State | MA
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