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General NPI Number Information
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NPI Number | 1801874185
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Entity Type | Individual
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Provider Name | BRYAN A BELL O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 03/25/2020
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Provider Practice Location Address
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Address Line | 13965 W BURLEIGH RD STE 108
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City | BROOKFIELD
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State | WI
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Zip | 53005-3074
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Country | US
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Telephone | 262-505-5440
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Fax | 262-505-5414
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Provider Business Mailing Address
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Address Line | 13965 W BURLEIGH RD STE 108
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City | BROOKFIELD
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State | WI
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Zip | 53005-3074
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Country | US
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Telephone | 262-505-5440
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Fax | 262-505-5414
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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 | 3010-035
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License Number State | WI
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