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General NPI Number Information
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NPI Number | 1063554897
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Entity Type | Organization
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Legal Business Name | GARY B BELL, MD,PA
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 11 ATRIUM RIDGE CT
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City | COLUMBIA
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State | SC
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Zip | 29223-6438
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Country | US
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Telephone | 803-699-9992
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Fax | 803-865-7429
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Provider Business Mailing Address
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Address Line | 11 ATRIUM RIDGE CT
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City | COLUMBIA
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State | SC
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Zip | 29223-6438
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Country | US
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Telephone | 803-699-9992
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Fax | 803-865-7429
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY BERNARD BELL
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Credential | M.D.
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Telephone | 803-699-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11980
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License Number State | SC
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