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General NPI Number Information
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NPI Number | 1639818263
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Entity Type | Individual
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Provider Name | AMY ELIZABETH BELL O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 3890 CHARLEVOIX RD STE 270
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City | PETOSKEY
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State | MI
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Zip | 49770-8423
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Country | US
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Telephone | 231-439-3937
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Fax | 231-439-9058
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Provider Business Mailing Address
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Address Line | HIEMSTRA OPTICAL CO 255 ROMENCE RD
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City | PORTAGE
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State | MI
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Zip | 49024
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Country | US
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Telephone | 269-324-0800
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Fax | 269-324-0894
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901005596
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License Number State | MI
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