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General NPI Number Information
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NPI Number | 1013563287
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Entity Type | Individual
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Provider Name | MR. THOMAS BELL
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Gender | Male
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 05/06/2023
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Provider Practice Location Address
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Address Line | 207 WILDLIFE TRCE
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4013
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Country | US
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Telephone | 757-667-0441
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Fax |
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Provider Business Mailing Address
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Address Line | 207 WILDLIFE TRCE
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4013
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Country | US
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Telephone | 757-667-0441
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Taxonomy #4
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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