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General NPI Number Information
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NPI Number | 1063998250
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Entity Type | Individual
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Provider Name | REBECCA BELTOWSKI
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Gender | Female
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2799 W GRAND BLVD K14 CARDIOLOGY
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City | DETROIT
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State | MI
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Zip | 48202-2608
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Country | US
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Telephone | 313-916-2417
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Fax | 313-916-8419
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Provider Business Mailing Address
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Address Line | 3823 WESTPHAL RD
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City | HOWELL
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State | MI
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Zip | 48843-8899
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Country | US
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Telephone | 734-255-7739
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Fax |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704283150
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704283150
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License Number State | MI
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