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General NPI Number Information
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NPI Number | 1902259724
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Entity Type | Organization
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Legal Business Name | BELDOR GROUP LLC
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Dates
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Enumeration Date | 07/16/2016
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Last Update Date | 05/12/2017
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Provider Practice Location Address
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Address Line | 201 NW 82ND AVE SUITE 301
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City | PLANTATION
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State | FL
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Zip | 33324-7808
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Country | US
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Telephone | 888-362-9902
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Fax | 800-518-6513
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Provider Business Mailing Address
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Address Line | 730 NE 191ST ST
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City | MIAMI
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State | FL
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Zip | 33179-3922
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Country | US
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Telephone | 786-916-3621
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Fax | 786-916-3621
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ABEL ENRIQUE BELLO
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Credential | M.D.
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Telephone | 646-642-0810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 60.284987-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.097759
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME123342
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME123276
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License Number State | FL
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