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General NPI Number Information
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NPI Number | 1417094095
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Entity Type | Individual
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Provider Name | SHANA LYNN BELL LPTA
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 127 PRATT DR
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City | CORINTH
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State | MS
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Zip | 38834-6026
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Country | US
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Telephone | 662-284-9838
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Fax | 662-284-9866
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Provider Business Mailing Address
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Address Line | 5 NORTHSIDE DR
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City | BELMONT
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State | MS
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Zip | 38827-9201
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Country | US
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Telephone | 662-416-1049
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Fax | 662-284-9866
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PTA3102
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA3102
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License Number State | MS
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