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General NPI Number Information
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NPI Number | 1518386978
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Entity Type | Organization
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Legal Business Name | BELL & CROCKER SWEENY, LLC (DBA: SWEENY FAMILY DENTAL)
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 303 N MCKINNEY ST STE A
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City | SWEENY
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State | TX
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Zip | 77480-2808
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Country | US
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Telephone | 979-548-2184
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Fax | 979-548-3108
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Provider Business Mailing Address
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Address Line | 303 N MCKINNEY SUITE A
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City | SWEENY
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State | TX
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Zip | 77480
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Country | US
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Telephone | 979-548-2184
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Fax | 979-548-3108
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN K BELL
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Credential | D.D.S.
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Telephone | 979-297-1201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28102
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License Number State | TX
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