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General NPI Number Information
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NPI Number | 1023214590
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Entity Type | Organization
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Legal Business Name | BELL OPTOMETRIC CLINIC, PLLC
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 925 S MAIN ST
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City | BURLINGTON
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State | NC
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Zip | 27215-5756
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Country | US
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Telephone | 336-228-8369
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2095
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City | BURLINGTON
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State | NC
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Zip | 27216-2095
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Country | US
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Telephone | 336-228-8369
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Fax | 336-228-0869
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. PHILIP TROLLINGER BELL
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Credential | O.D.
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Telephone | 336-228-8369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1112
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License Number State | NC
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