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General NPI Number Information
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NPI Number | 1902031701
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Entity Type | Organization
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Legal Business Name | BELIN INTENSIVE IN HOME SERVICE
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 05/21/2009
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Provider Practice Location Address
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Address Line | 710 N BROAD ST BUILDING 1 UNIT 6-B
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City | MOORESVILLE
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State | NC
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Zip | 28115-9554
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Country | US
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Telephone | 704-575-7431
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Fax |
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Provider Business Mailing Address
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Address Line | 610 E 7TH ST SUITE 103
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City | CHARLOTTE
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State | NC
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Zip | 28202-2923
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRIS BELIN
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Credential |
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Telephone | 704-575-7431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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