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General NPI Number Information
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NPI Number | 1003625823
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Entity Type | Organization
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Legal Business Name | ERES BELLA, PLLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 5215 S COULTER ST STE 200
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City | AMARILLO
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State | TX
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Zip | 79119-6759
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Country | US
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Telephone | 806-672-9929
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Fax | 806-553-1531
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Provider Business Mailing Address
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Address Line | 222 S BLISS AVE
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City | DUMAS
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State | TX
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Zip | 79029-3806
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Country | US
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Telephone | 806-672-9929
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Fax | 806-553-1531
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Authorized Official
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Title or Position | MANAGER
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Name | DR. GASIM HAMOUDA BELLA
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Credential | DO
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Telephone | 586-804-3556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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