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General NPI Number Information
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NPI Number | 1134211402
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Entity Type | Individual
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Provider Name | NATHAN DEVAUGHN BELL JR. D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 801 JONES FRANKLIN RD SUITE 150
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City | RALEIGH
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State | NC
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Zip | 27606-3381
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Country | US
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Telephone | 919-852-0403
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Fax | 919-852-0562
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Provider Business Mailing Address
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Address Line | 12209 AMORETTO WAY
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City | RALEIGH
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State | NC
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Zip | 27613-5623
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Country | US
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Telephone | 919-846-3957
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6120
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License Number State | NC
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