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NPI 1750565347

NPI 1750565347 : JOSEPH P. BELLONI, DC, INC. : HARTVILLE, OH

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General NPI Number Information
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    NPI Number           |    1750565347
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOSEPH P. BELLONI, DC, INC. 
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Dates
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    Enumeration Date     |    12/19/2007
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    Last Update Date     |    09/03/2008
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Provider Practice Location Address
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    Address Line         |    140 GRAND TRUNK AVE SW SUITE D
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    City                 |    HARTVILLE
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    State                |    OH
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    Zip                  |    44632-8547
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    Country              |    US
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    Telephone            |    330-877-3177
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    Fax                  |    330-877-3525
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Provider Business Mailing Address
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    Address Line         |    843 W MAPLE ST 
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    City                 |    HARTVILLE
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    State                |    OH
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    Zip                  |    44632-9668
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    Country              |    US
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    Telephone            |    330-877-3177
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    Fax                  |    330-877-3525
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JOSEPH P. BELLONI 
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    Credential           |    DC
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    Telephone            |    330-877-3177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    1623
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    License Number State |    OH
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