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General NPI Number Information
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NPI Number | 1932359056
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Entity Type | Organization
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Legal Business Name | ANTHONY F BELLOMO MD INC
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 2805 J ST SUITE 210
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City | SACRAMENTO
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State | CA
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Zip | 95816-4307
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Country | US
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Telephone | 916-441-1973
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Fax | 916-441-1971
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Provider Business Mailing Address
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Address Line | 2805 J ST SUITE 210
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City | SACRAMENTO
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State | CA
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Zip | 95816-4307
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Country | US
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Telephone | 916-441-1973
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Fax | 916-441-1971
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY F BELLOMO
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Credential | M.D.
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Telephone | 916-441-1973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 79283
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License Number State | CA
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