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General NPI Number Information
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NPI Number | 1376050682
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Entity Type | Organization
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Legal Business Name | BELL ADULT HEALTHCARE AND WELLNESS PLLC
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 4719 E SILVER CREEK WAY
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City | EAGLE MOUNTAIN
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State | UT
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Zip | 84005
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Country | US
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Telephone | 801-724-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 4719 E SILVER CREEK WAY
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City | EAGLE MOUNTAIN
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State | UT
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Zip | 84005-5869
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Country | US
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Telephone | 801-227-9812
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DAMON BELL
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Credential | MSN
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Telephone | 801-227-9280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 7757911-4405
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License Number State | UT
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