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General NPI Number Information
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NPI Number | 1588993646
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Entity Type | Organization
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Legal Business Name | JS-BELL ENTERPRISES, LLC
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 702 6TH AVE S
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-3568
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Country | US
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Telephone | 843-249-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 702 6TH AVE S
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-3568
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Country | US
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Telephone | 843-249-5433
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MENDEL BELL
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Credential |
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Telephone | 843-249-5433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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