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General NPI Number Information
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NPI Number | 1487775003
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Entity Type | Individual
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Provider Name | BEN W BELL M.A., L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3560 DELAWARE ST SUITE 502
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City | BEAUMONT
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State | TX
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Zip | 77706-3067
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Country | US
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Telephone | 409-899-4472
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Fax | 409-899-9795
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Provider Business Mailing Address
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Address Line | 3560 DELAWARE ST SUITE 502
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City | BEAUMONT
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State | TX
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Zip | 77706-3067
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Country | US
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Telephone | 409-899-4472
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Fax | 409-899-9795
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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 | 1412
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License Number State | TX
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