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General NPI Number Information
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NPI Number | 1912021361
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Entity Type | Individual
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Provider Name | PETER WILLIAM BELLIS NA
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4230 CRUMS MILL RD SUITE 201
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City | HARRISBURG
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State | PA
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Zip | 17112-2898
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Country | US
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Telephone | 800-828-7711
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Fax | 717-657-9088
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Provider Business Mailing Address
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Address Line | 68 BITTERSWEET DR
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2771
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Country | US
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Telephone | 800-828-7711
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Fax | 717-657-9088
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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 | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number | NA
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License Number State | PA
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