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General NPI Number Information
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NPI Number | 1902109119
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Entity Type | Organization
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Legal Business Name | BELL FAMILY THERAPY
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 162 N HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67214-4919
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Country | US
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Telephone | 316-247-1199
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Fax | 866-308-4077
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Provider Business Mailing Address
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Address Line | 8113 W 16TH ST N
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City | WICHITA
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State | KS
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Zip | 67212-5854
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Country | US
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Telephone | 316-247-1199
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Fax | 866-308-4077
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Authorized Official
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Title or Position | CLINICIAN/OWNER
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Name | MR. LARRY R BELL JR.
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Credential | LCMFT
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Telephone | 316-247-1199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 838
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License Number State | KS
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