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Individual

PHOENIX DANIELLE BELL

Active
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Individual

PHOENIX DANIELLE BELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
283209
MA
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0039
NC
Enumeration date
06/08/2017
Last updated
01/07/2021
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