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NPI 1902294655

NPI 1902294655 : MELISSA BELL ED. S : MASON, OH

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General NPI Number Information
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    NPI Number           |    1902294655
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA BELL ED. S
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/05/2015
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    Last Update Date     |    01/05/2015
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Provider Practice Location Address
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    Address Line         |    6100 S MASON MONTGOMERY RD 
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    City                 |    MASON
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    State                |    OH
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    Zip                  |    45040-3708
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    Country              |    US
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    Telephone            |    513-395-3053
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5059 LEXINGTON CT 
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    City                 |    MASON
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    State                |    OH
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    Zip                  |    45040-4602
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    Country              |    US
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    Telephone            |    614-270-5260
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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        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    103T00000X
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    License Number State |    OH
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