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NPI 1801325998

NPI 1801325998 : ILANA BELL ATC : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1801325998
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    Entity Type          |    Individual 
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    Provider Name        |    ILANA BELL ATC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/12/2017
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    Last Update Date     |    06/12/2017
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Provider Practice Location Address
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    Address Line         |    800 FLORIDA AVE NE 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20002-3600
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    Country              |    US
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    Telephone            |    202-905-6134
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1201 S SCOTT ST # C333 
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    City                 |    ARLINGTON
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    State                |    VA
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    Zip                  |    22204-4655
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    Country              |    US
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    Telephone            |    773-327-3902
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    
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    License Number State |    
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