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General NPI Number Information
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NPI Number | 1215245873
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Entity Type | Individual
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Provider Name | SHELANDRA BELL D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 11/09/2017
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Provider Practice Location Address
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Address Line | 1060 WINDY HILL RD. SE
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City | SMYRNA
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State | GA
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Zip | 30080-2021
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Country | US
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Telephone | 404-251-1742
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Fax |
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Provider Business Mailing Address
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Address Line | 1455 SPRING RD SE APT 403
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City | SMYRNA
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State | GA
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Zip | 30080-3801
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Country | US
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Telephone | 248-219-4219
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 078750
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License Number State | GA
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