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General NPI Number Information
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NPI Number | 1902294432
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Entity Type | Individual
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Provider Name | CHANGA K BELL HEALTH COACH
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Gender | Male
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 2000 GIRARD AVE
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City | BALTIMORE
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State | MD
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Zip | 21211-1331
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Country | US
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Telephone | 443-519-2251
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 GIRARD AVE
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City | BALTIMORE
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State | MD
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Zip | 21211-1331
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Country | US
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Telephone | 443-519-2251
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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