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General NPI Number Information
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NPI Number | 1336556711
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Entity Type | Organization
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Legal Business Name | MID-BELL, LLC
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 12144 CENTRAL AVE STE B
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City | CHINO
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State | CA
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Zip | 91710-2420
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Country | US
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Telephone | 909-591-8444
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Fax | 909-613-1560
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Provider Business Mailing Address
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Address Line | 12144 CENTRAL AVE STE B
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City | CHINO
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State | CA
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Zip | 91710-2420
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Country | US
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Telephone | 909-591-8444
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Fax | 909-613-1560
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. LAUREN BETH MIDLARSKY BELLMAN
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Credential | D.O.
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Telephone | 561-329-1821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY56060
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License Number State | CA
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