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NPI 1891195871

NPI 1891195871 : TAMARA MAHAN BELL : STAFFORD, TX

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General NPI Number Information
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    NPI Number           |    1891195871
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    Entity Type          |    Individual 
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    Provider Name        |    TAMARA MAHAN BELL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/27/2014
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    Last Update Date     |    08/27/2014
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Provider Practice Location Address
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    Address Line         |    3001 DOVE COUNTRY DR APT. 1804
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    City                 |    STAFFORD
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    State                |    TX
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    Zip                  |    77477-6027
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    Country              |    US
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    Telephone            |    832-264-6765
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    Fax                  |    832-383-1554
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Provider Business Mailing Address
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    Address Line         |    PO BOX 20112 
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    City                 |    SUGAR LAND
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    State                |    TX
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    Zip                  |    77496-0112
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    Country              |    US
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    Telephone            |    832-264-6765
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    Fax                  |    832-383-1554
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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        |    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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