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General NPI Number Information
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NPI Number | 1932281979
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Entity Type | Organization
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Legal Business Name | BELMONT EYE CLINIC, INC.
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 05/25/2011
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Provider Practice Location Address
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Address Line | 3020 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1846
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Country | US
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Telephone | 330-759-7672
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Fax | 330-759-4768
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Provider Business Mailing Address
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Address Line | 3020 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1846
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Country | US
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Telephone | 330-759-7672
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Fax | 330-759-4768
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SHERIF I HANNA
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Credential | M.D.
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Telephone | 330-759-7672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 128
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License Number State | OH
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