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NPI Code Detail

MEDICARE: ELMOCTAR BELOUL

MEDICARE: ELMOCTAR BELOUL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1851269054
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELMOCTAR BELOUL
Provider Business Mailing Address
First Line : 3342 SHOAL CREEK LN APT O
Second Line :
City : HILLIARD
State : OH
Zip : 43026-4395
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2700 E DUBLIN GRANVILLE RD STE 460
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4054
Country : US
Telephone Number : 614-681-6948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2025
Last Update Date : 10/28/2025

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Directions to “ ELMOCTAR BELOUL ” Practice Location

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