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General NPI Number Information
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NPI Number | 1942295654
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Entity Type | Individual
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Provider Name | THOMAS MELVIN BELL LICENS PSYCHOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 107 S STREETCAR WAY
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City | LOST CREEK
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State | WV
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Zip | 26385
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Country | US
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Telephone | 304-626-5737
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4672
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City | STAR CITY
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State | WV
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Zip | 26504-4672
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Country | US
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Telephone | 304-626-5737
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 615
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License Number State | WV
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