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NPI 1669502472

NPI 1669502472 : TERECE S. BELL PH.D. : SHERMAN OAKS, CA

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General NPI Number Information
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    NPI Number           |    1669502472
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    Entity Type          |    Individual 
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    Provider Name        |    TERECE S. BELL PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/07/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    15409 DICKENS ST. 
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    City                 |    SHERMAN OAKS
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    State                |    CA
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    Zip                  |    91403
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    Country              |    US
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    Telephone            |    626-284-2777
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    Fax                  |    626-284-0550
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Provider Business Mailing Address
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    Address Line         |    530 PROSPECT AVE 
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    City                 |    SO. PASADENA
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    State                |    CA
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    Zip                  |    91030-1744
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    Country              |    US
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    Telephone            |    626-284-2777
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    Fax                  |    626-284-0550
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY 9443
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    License Number State |    CA
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