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Individual
SHANNON ROSE BELL
Active
Individual
SHANNON ROSE BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A15204
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
20A15204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A15204
STATE LICENSE
CA
Enumeration date
03/31/2015
Last updated
03/07/2023
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