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General NPI Number Information
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NPI Number | 1073585063
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Entity Type | Individual
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Provider Name | RICHARD T BELL CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1462 I ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4116
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Country | US
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Telephone | 541-747-8431
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Fax | 541-747-6231
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Provider Business Mailing Address
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Address Line | 27211 ORCHARD RD
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City | JUNCTION CITY
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State | OR
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Zip | 97448-8506
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Country | US
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Telephone | 541-747-8431
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Fax | 541-747-6231
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 00039187
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License Number State | OR
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