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General NPI Number Information
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NPI Number | 1700693967
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Entity Type | Individual
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Provider Name | JACQUEITA BELL CPC, CM
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Gender | Female
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 13718 PACIFIC AVE S
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City | TACOMA
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State | WA
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Zip | 98444-4746
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Country | US
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Telephone | 253-536-4580
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Fax | 253-584-2649
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Provider Business Mailing Address
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Address Line | PO BOX 44836
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City | TACOMA
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State | WA
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Zip | 98448-0836
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Country | US
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Telephone | 253-536-4580
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Fax | 253-584-2649
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | WA
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