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General NPI Number Information
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NPI Number | 1154633956
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Entity Type | Organization
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Legal Business Name | BELL HOSPITAL CORPORATION
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 15603 HAWTHORNE BLVD SUITE 200
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City | LAWNDALE
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State | CA
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Zip | 90260-2639
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Country | US
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Telephone | 310-674-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425
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City | LAWNDALE
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State | CA
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Zip | 90260-0425
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Country | US
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Telephone | 310-674-1000
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Fax | 310-679-4035
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JERRY A. OKONKWOAGUOLU
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Credential | MD, PHD
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Telephone | 310-674-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | FNP39403
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License Number State | CA
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