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General NPI Number Information
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NPI Number | 1013629120
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Entity Type | Individual
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Provider Name | DONCOREY BELL
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Gender | Male
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 13154 COIT RD STE 215
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City | DALLAS
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State | TX
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Zip | 75240-5787
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Country | US
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Telephone | 318-344-5359
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Fax |
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Provider Business Mailing Address
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Address Line | 546 ARGYLE ST
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City | SHREVEPORT
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State | LA
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Zip | 71106-4113
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Country | US
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Telephone | 318-344-5359
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | 664185
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License Number State | TX
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