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NPI 1922015775

NPI 1922015775 : DAVID BRADFORD BELL PHD : TERRELL, TX

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General NPI Number Information
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    NPI Number           |    1922015775
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID BRADFORD BELL PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/02/2006
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    Last Update Date     |    12/29/2010
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Provider Practice Location Address
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    Address Line         |    102 E MOORE AVE 
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    City                 |    TERRELL
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    State                |    TX
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    Zip                  |    75160
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    Country              |    US
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    Telephone            |    972-563-1981
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    Fax                  |    972-563-1984
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Provider Business Mailing Address
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    Address Line         |    102 W MOORE AVE #218A
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    City                 |    TERRELL
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    State                |    TX
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    Zip                  |    75160
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    Country              |    US
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    Telephone            |    972-563-1981
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    Fax                  |    972-563-1984
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    22362
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    License Number State |    TX
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