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General NPI Number Information
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NPI Number | 1922792308
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Entity Type | Organization
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Legal Business Name | BELAY PHYSICIAN GROUP PLLC
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 19143 W LAKE HOUSTON PKWY
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City | ATASCOCITA
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State | TX
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Zip | 77346-4800
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Country | US
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Telephone | 281-540-9113
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Fax |
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Provider Business Mailing Address
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Address Line | 1233 YALE ST
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City | HOUSTON
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State | TX
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Zip | 77008-6959
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Country | US
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Telephone | 713-955-2665
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTENEH BELAY
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Credential | MD
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Telephone | 703-888-8259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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