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General NPI Number Information
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NPI Number | 1750124145
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Entity Type | Organization
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Legal Business Name | BELLA CLINICAL CARE
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Dates
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Enumeration Date | 06/14/2024
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1345 GARNER LN STE 301A
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City | COLUMBIA
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State | SC
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Zip | 29210-8363
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Country | US
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Telephone | 803-489-8777
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Fax | 803-832-2621
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Provider Business Mailing Address
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Address Line | 1345 GARNER LN STE 301A
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City | COLUMBIA
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State | SC
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Zip | 29210-8363
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Country | US
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Telephone | 803-489-8777
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Fax | 803-832-2621
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENYFER FOUST
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Credential |
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Telephone | 803-489-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #8
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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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