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General NPI Number Information
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NPI Number | 1720544091
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Entity Type | Individual
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Provider Name | GRACE ELIZABETH THOMPSON BELL AGACNP-BC, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 715 TANK FARM RD STE C
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7068
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Country | US
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Telephone | 805-543-5577
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Fax |
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Provider Business Mailing Address
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Address Line | 122 DEER TRAIL CIR
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-1315
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Country | US
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Telephone | 805-709-0697
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN272588
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN272588
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95031483
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License Number State | CA
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