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General NPI Number Information
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NPI Number | 1194245316
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Entity Type | Individual
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Provider Name | CHRISTINA KATHLEEN BELTRE DO
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Gender | Female
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 7337 CARITAS CIR NW
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City | MASSILLON
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State | OH
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Zip | 44646-9126
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Country | US
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Telephone | 330-830-6110
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Fax |
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Provider Business Mailing Address
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Address Line | 1955 CYPRUS CIR
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City | KENT
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State | OH
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Zip | 44240-6889
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Country | US
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Telephone | 440-537-2388
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.017005
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 95889
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 125XXXXXX
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2019010039
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License Number State | MO
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