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General NPI Number Information
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NPI Number | 1083183487
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Entity Type | Individual
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Provider Name | ELIJAH BELL PH. D.
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Gender | Male
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Dates
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Enumeration Date | 11/15/2018
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 1591 BRUCKNER BLVD APT 14D
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City | BRONX
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State | NY
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Zip | 10472-6431
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Country | US
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Telephone | 718-378-3540
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 352
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City | NANUET
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State | NY
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Zip | 10954-0352
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Country | US
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Telephone | 718-378-3540
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 022996-1
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License Number State | NY
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