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General NPI Number Information
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NPI Number | 1093066409
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Entity Type | Individual
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Provider Name | BELSY JOSE KORUTHU WHCNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 825 N MCDONALD ST 135
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City | MCKINNEY
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State | TX
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Zip | 75069-2141
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Country | US
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Telephone | 972-548-5529
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Fax | 972-548-5550
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Provider Business Mailing Address
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Address Line | 825 N MCDONALD ST 135
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City | MCKINNEY
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State | TX
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Zip | 75069-2141
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Country | US
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Telephone | 972-548-5529
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Fax | 972-548-5550
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 505872
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License Number State | TX
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