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General NPI Number Information
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NPI Number | 1033446349
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Entity Type | Individual
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Provider Name | LIRON BELTZER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 3601 SW 160TH AVE SUITE 250
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City | MIRAMAR
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State | FL
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Zip | 33027-6308
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Country | US
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Telephone | 954-399-4642
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Fax | 877-859-8768
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Provider Business Mailing Address
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Address Line | 1201 NE 100TH ST
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2603
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Country | US
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Telephone | 305-757-2080
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Fax | 954-584-7209
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 105585
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME105585
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License Number State | FL
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