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General NPI Number Information
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NPI Number | 1881753135
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Entity Type | Individual
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Provider Name | PETER JOSEPH BELLAFIORE MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 70 KENYON AVE
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City | WAKEFIELD
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State | RI
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Zip | 02879-4239
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Country | US
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Telephone | 401-789-4885
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Fax | 401-792-0201
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Provider Business Mailing Address
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Address Line | 360 KINGSTOWN RD UNIT 102
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3239
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Country | US
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Telephone | 401-789-4885
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Fax | 401-792-0201
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD8924
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License Number State | RI
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