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General NPI Number Information
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NPI Number | 1760494199
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Entity Type | Organization
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Legal Business Name | MARICAR G. BELICENA, LTD
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 2500 GRUBB RD SUITE 120
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City | WILMINGTON
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State | DE
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Zip | 19810-4799
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Country | US
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Telephone | 302-475-1504
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Fax | 302-475-2345
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Provider Business Mailing Address
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Address Line | PO BOX 7079
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City | NEWARK
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State | DE
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Zip | 19714-7079
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Country | US
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Telephone | 302-475-1504
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Fax | 302-475-2345
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARICAR GABORNE BELICENA-BADILLO
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Credential | MD
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Telephone | 302-475-1504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C1-0006184
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License Number State | DE
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