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General NPI Number Information
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NPI Number | 1972500726
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Entity Type | Individual
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Provider Name | DONNA J BELCHER II O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1369 BEVILLE RD
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City | DAYTONA BEACH
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State | FL
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Zip | 32119-1529
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Country | US
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Telephone | 386-761-1323
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Fax | 386-761-8210
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Provider Business Mailing Address
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Address Line | 1890 SPRUCE CREEK BLVD
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City | PORT ORANGE
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State | FL
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Zip | 32128-6780
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Country | US
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Telephone | 386-304-8941
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3200
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License Number State | FL
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