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General NPI Number Information
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NPI Number | 1649468562
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Entity Type | Organization
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Legal Business Name | THE FAMILY WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 409 W MAIN ST SUITE 205
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City | WASHINGTON
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State | NC
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Zip | 27889-4882
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Country | US
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Telephone | 252-948-3692
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Fax | 252-948-3693
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Provider Business Mailing Address
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Address Line | 7062 CHERRY RUN RD
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City | WASHINGTON
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State | NC
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Zip | 27889-8398
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Country | US
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Telephone | 252-814-5464
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Fax | 252-948-3693
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Authorized Official
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Title or Position | DIRECTOR/NC LICENSED MFT
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Name | MR. DAVID EUGENE BELL II
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Credential | M.S., LMFT
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Telephone | 252-814-5464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1133
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License Number State | NC
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