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General NPI Number Information
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NPI Number | 1912200114
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Entity Type | Organization
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Legal Business Name | BELLEFONTE PHYSICIAN SERVICES, INC
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 1101 SAINT CHRISTOPHER DR STE 350
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City | ASHLAND
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State | KY
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Zip | 41101-7000
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Country | US
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Telephone | 606-833-6350
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Fax | 606-833-6352
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Provider Business Mailing Address
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Address Line | PO BOX 2155
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City | ASHLAND
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State | KY
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Zip | 41105-2155
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Country | US
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Telephone | 877-214-4267
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Fax | 606-833-4668
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | TROY CONNETT
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Credential |
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Telephone | 606-833-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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