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General NPI Number Information
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NPI Number | 1972788164
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Entity Type | Organization
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Legal Business Name | BELLA MD PLLC
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 8117 PRESTON RD SUITE 470
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City | DALLAS
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State | TX
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Zip | 75225-6332
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Country | US
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Telephone | 214-378-6500
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Fax | 214-378-6501
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Provider Business Mailing Address
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Address Line | 8117 PRESTON RD SUITE 470
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City | DALLAS
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State | TX
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Zip | 75225-6332
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Country | US
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Telephone | 214-378-6500
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Fax | 214-378-6501
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Authorized Official
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Title or Position | OWNER
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Name | DAVID A. ENGLEMAN
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Credential | MD
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Telephone | 214-378-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J7947
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License Number State | TX
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