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General NPI Number Information
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NPI Number | 1174537690
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Entity Type | Individual
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Provider Name | TROY BELL OD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 12/11/2014
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Provider Practice Location Address
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Address Line | 3754 HIGHWAY 90 SUITE 390
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City | PACE
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State | FL
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Zip | 32571-1096
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Country | US
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Telephone | 850-266-7500
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Fax | 850-290-5952
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Provider Business Mailing Address
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Address Line | 3754 HIGHWAY 90 SUITE 390
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City | PACE
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State | FL
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Zip | 32571-1096
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Country | US
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Telephone | 850-266-7500
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Fax | 850-290-5952
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001531
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 4113
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License Number State | FL
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