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General NPI Number Information
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NPI Number | 1740592377
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Entity Type | Organization
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Legal Business Name | DEVYANI BELSARE MD LLC
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 761 CIARA CREEK CV
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City | LONGWOOD
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State | FL
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Zip | 32750-4659
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Country | US
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Telephone | 407-557-2165
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Fax | 407-550-6409
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Provider Business Mailing Address
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Address Line | 761 CIARA CREEK CV
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City | LONGWOOD
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State | FL
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Zip | 32750-4659
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Country | US
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Telephone | 407-557-2165
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Fax | 407-550-6409
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DEVYANI BELSARE
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Credential | MD
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Telephone | 407-557-2165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME 100607
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License Number State | FL
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