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NPI Code Detail

MEDICARE: MR. CARL E BELLO MA

MEDICARE: MR. CARL E BELLO MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLCPC-8139ID
2174M00000XVeterinarianVT00008214WA
3101YM0800XMental Health Counselor5520TN

General Provider Information

NPI Number : 1518190768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CARL E BELLO MA
Provider Business Mailing Address
First Line : 3602 SEVIER HEIGHTS ROAD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920
Country : US
Telephone Number : 336-405-8005
Fax Number :
Provider Business Practice Location Address
First Line : 3602 SEVIER HEIGHTS ROAD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920
Country : US
Telephone Number : 425-260-0540
Fax Number : 425-349-7256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2009
Last Update Date : 09/15/2023

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