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NPI 1174889521

NPI 1174889521 : BRUCE MASLAND BELL M.D. : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1174889521
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    Entity Type          |    Individual 
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    Provider Name        |    BRUCE MASLAND BELL M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/10/2012
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    Last Update Date     |    06/20/2018
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Provider Practice Location Address
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    Address Line         |    RUSH UNIVERSITY MEDICAL CENTER 1650 W. HARRISON ST. SUITE 466 ATRIUM
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60612
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    Country              |    US
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    Telephone            |    847-401-5294
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    RUSH UNIVERSITY MEDICAL CENTER 1650 W. HARRISON ST. SUITE 466 ATRIUM
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60612-3800
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    Country              |    US
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    Telephone            |    847-401-5294
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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        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    57556
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    036143693
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    License Number State |    IL
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