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General NPI Number Information
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NPI Number | 1801473905
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Entity Type | Individual
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Provider Name | LOUIS JESSE PATRICK BELL III DO
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Gender | Male
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 5500 W 12TH ST
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City | LITTLE ROCK
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State | AR
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Zip | 72204-1716
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Country | US
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Telephone | 501-435-1402
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746873
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City | ATLANTA
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State | GA
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Zip | 30374-6873
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Country | US
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Telephone | 773-352-1515
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | E-17726
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-17726
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License Number State | AR
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