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NPI 1467221192

NPI 1467221192 : THOMAS ANDREW BELL : RANDOLPH, ME

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General NPI Number Information
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    NPI Number           |    1467221192
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS ANDREW BELL
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/21/2023
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    Last Update Date     |    01/26/2025
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Provider Practice Location Address
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    Address Line         |    46 WINDSOR ST 
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    City                 |    RANDOLPH
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    State                |    ME
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    Zip                  |    04346-5206
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    Country              |    US
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    Telephone            |    802-272-8108
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    282 VINE ST APT 1 
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    City                 |    NORTHFIELD
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    State                |    VT
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    Zip                  |    05663-6791
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    Country              |    US
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    Telephone            |    802-535-7240
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    XL7816
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    License Number State |    ME
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Taxonomy #2
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    Taxonomy Code        |    175T00000X
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    Taxonomy Name        |    Peer Specialist
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    License Number       |    
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    License Number State |    VT
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