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General NPI Number Information
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NPI Number | 1982012506
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Entity Type | Individual
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Provider Name | MALCOLM BELL
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Gender | Male
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 4579 S EASON BLVD
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City | TUPELO
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State | MS
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Zip | 38801-6539
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Country | US
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Telephone | 662-456-4298
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Fax |
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Provider Business Mailing Address
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Address Line | 191 TRACEVIEW
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City | HOUSTON
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State | MS
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Zip | 38851
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Country | US
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Telephone | 662-456-4298
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | M6346
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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