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General NPI Number Information
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NPI Number | 1992031827
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Entity Type | Organization
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Legal Business Name | BRUCE R. KING BELL, OD, PC
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 530 HUNTER ST
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City | ROCKMART
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State | GA
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Zip | 30153-1916
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Country | US
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Telephone | 770-684-5650
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Fax | 770-684-1539
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Provider Business Mailing Address
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Address Line | 530 HUNTER ST
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City | ROCKMART
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State | GA
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Zip | 30153-1916
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Country | US
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Telephone | 770-684-5650
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Fax | 770-684-1539
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRUCE K BELL
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Credential | O.D.
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Telephone | 770-684-5650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT000877
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License Number State | GA
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