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General NPI Number Information
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NPI Number | 1992286470
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Entity Type | Organization
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Legal Business Name | BELLINI PSYCHOLOGY
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | 81 WASHINGTON ST
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City | CONWAY
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State | NH
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Zip | 03818
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Country | US
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Telephone | 603-852-1469
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Fax |
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Provider Business Mailing Address
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Address Line | 2152 WHITE MOUNTAIN HWY
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City | NORTH CONWAY
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State | NH
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Zip | 03860-5148
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | SAMANTHA BELLINI
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Credential | PSY.D.
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Telephone | 401-207-7071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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