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General NPI Number Information
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NPI Number | 1245945674
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Entity Type | Organization
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Legal Business Name | BELLS HAVEN LLC
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 14104 GREEN THICKET DR
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City | PEARLAND
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State | TX
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Zip | 77584-3934
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Country | US
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Telephone | 281-741-9272
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Fax |
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Provider Business Mailing Address
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Address Line | 14104 GREEN THICKET DR
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City | PEARLAND
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State | TX
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Zip | 77584-3934
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Country | US
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Telephone | 281-741-9272
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHALON MARIE HOWARD
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Credential |
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Telephone | 832-606-5261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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