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General NPI Number Information
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NPI Number | 1740940790
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Entity Type | Organization
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Legal Business Name | BLUEBELL HEALTH & WELLNESS, PLLC
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 3484 US HIGHWAY 13 S
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City | GOLDSBORO
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State | NC
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Zip | 27530-1025
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Country | US
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Telephone | 919-689-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 3484 US HIGHWAY 13 S
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City | GOLDSBORO
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State | NC
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Zip | 27530-1025
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Country | US
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Telephone | 919-689-2222
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Fax |
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Authorized Official
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Title or Position | DNP, FNP-BC
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Name | JENNIFER MAZUREK
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Credential | DNP, FNP-BC
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Telephone | 252-903-9974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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