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General NPI Number Information
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NPI Number | 1821017948
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Entity Type | Individual
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Provider Name | LISA MARIE BELL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 4261 ANGELA WAY
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City | CANANDAIGUA
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State | NY
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Zip | 14424-9654
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Country | US
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Telephone | 517-381-1062
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Fax | 517-203-5057
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Provider Business Mailing Address
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Address Line | PO BOX 344
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City | OKEMOS
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State | MI
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Zip | 48805-0344
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Country | US
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Telephone | 517-203-5056
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Fax | 517-203-5057
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301008842
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 022126
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License Number State | NY
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