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General NPI Number Information
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NPI Number | 1972508083
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Entity Type | Individual
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Provider Name | STEPHEN PAUL BELCHER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 700 NOKOMIS AVE S
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City | VENICE
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State | FL
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Zip | 34285-3400
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Country | US
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Telephone | 941-484-3551
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Fax | 941-484-8851
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Provider Business Mailing Address
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Address Line | 926 SW 37TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33914-7931
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Country | US
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Telephone | 239-398-3232
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN10708
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License Number State | FL
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