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General NPI Number Information
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NPI Number | 1447792544
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Entity Type | Individual
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Provider Name | MRS. KIMBERLY LYNN BELL
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Gender | Female
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 1001 S HILTON ST
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City | BOISE
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State | ID
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Zip | 83705-1925
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Country | US
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Telephone | 208-345-4464
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Fax |
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Provider Business Mailing Address
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Address Line | 5787 W COMBERMERE DR
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City | EAGLE
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State | ID
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Zip | 83616-4983
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Country | US
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Telephone | 208-871-9446
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1499
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License Number State | ID
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