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General NPI Number Information
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NPI Number | 1730277971
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Entity Type | Individual
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Provider Name | JOHN D BELL OD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 401 DIAMOND RUN MALL LENSCRAFTERS
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City | RUTLAND
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State | VT
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Zip | 05701
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Country | US
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Telephone | 802-775-7312
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Fax |
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Provider Business Mailing Address
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Address Line | 1675 HIGH POND ROAD
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City | BRANDON
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State | VT
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Zip | 05733
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Country | US
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Telephone | 802-247-4448
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 030-0000235
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T005921-1
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License Number State | NY
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