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General NPI Number Information
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NPI Number | 1962664490
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Entity Type | Individual
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Provider Name | RITHA MARY BELIZAIRE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 427 W 20TH ST STE 710
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City | HOUSTON
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State | TX
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Zip | 77008-2433
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Country | US
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Telephone | 832-979-5670
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Fax |
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Provider Business Mailing Address
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Address Line | 5532 JESSAMINE ST
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City | HOUSTON
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State | TX
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Zip | 77081-6624
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Country | US
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Telephone | 513-252-9540
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 280265
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | S1563
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License Number State | TX
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