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Individual
RANDY BELL
Active
Individual
RANDY BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2261
SC
363A00000X
Physician Assistant
MA051041
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055PA
—
SC
Enumeration date
11/15/2006
Last updated
06/01/2021
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