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General NPI Number Information
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NPI Number | 1881130383
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Entity Type | Organization
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Legal Business Name | BELLI & STREIT ORTHODONTICS
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 1551 S WATER ST
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City | KENT
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State | OH
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Zip | 44240-4441
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Country | US
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Telephone | 330-673-6411
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Fax | 330-673-3949
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Provider Business Mailing Address
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Address Line | 1551 S WATER ST
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City | KENT
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State | OH
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Zip | 44240-4441
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Country | US
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Telephone | 330-673-6411
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Fax | 330-673-3949
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | LAURA STREIT
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Credential | D.D.S., M.S.D.
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Telephone | 330-673-6411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 30023013
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 30018196
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License Number State | OH
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