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General NPI Number Information
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NPI Number | 1588657134
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Entity Type | Individual
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Provider Name | RICK LEE BELL PTA
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 113 BLUE JAY DR STE 200
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City | LIBERTY
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State | MO
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Zip | 64068-1997
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Country | US
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Telephone | 816-415-4971
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Fax | 816-415-8270
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Provider Business Mailing Address
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Address Line | 457 CHOCTAW ST
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City | LIBERTY
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State | MO
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Zip | 64068-2507
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Country | US
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Telephone | 816-415-4248
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 116994
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License Number State | MO
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