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General NPI Number Information
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NPI Number | 1902309123
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Entity Type | Individual
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Provider Name | SHANIQUA BELL
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Gender | Female
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 140 S BEACH ST
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4472
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Country | US
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Telephone | 386-222-2576
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Fax |
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Provider Business Mailing Address
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Address Line | 9 PRINCE KAAREL LN
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City | PALM COAST
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State | FL
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Zip | 32164-7157
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Country | US
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Telephone | 443-570-8156
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 15086
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License Number State | FL
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