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General NPI Number Information
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NPI Number | 1912577099
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Entity Type | Individual
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Provider Name | BROOKE BELL LPC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 2020 E JOYCE BLVD STE 1
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-6228
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Country | US
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Telephone | 479-332-4557
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Fax | 479-435-9587
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Provider Business Mailing Address
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Address Line | 2809 FOREST HOME RD
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City | JONESBORO
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State | AR
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Zip | 72401-5320
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Country | US
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Telephone | 866-972-1268
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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 | P2103175
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License Number State | AR
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