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General NPI Number Information
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NPI Number | 1104439835
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Entity Type | Organization
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Legal Business Name | BELLA-ROUGE HEALTH CARE INC
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 4510 OFFICE PARK DR
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City | JACKSON
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State | MS
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Zip | 39206-6016
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Country | US
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Telephone | 225-433-3172
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Fax | 601-228-4471
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Provider Business Mailing Address
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Address Line | PO BOX 70
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City | NATCHEZ
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State | MS
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Zip | 39121-0070
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Country | US
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Telephone | 225-433-3172
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Fax | 601-228-4471
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Authorized Official
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Title or Position | DNP
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Name | BLANCHE MAE BELL
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Credential | NURSE PRACTITIONER
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Telephone | 305-978-4907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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