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General NPI Number Information
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NPI Number | 1386924249
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Entity Type | Organization
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Legal Business Name | JOSEPH D BETTENCOURT MD INC
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 2120 GOLDEN HILL RD SUITE 202
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City | PASO ROBLES
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State | CA
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Zip | 93446
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Country | US
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Telephone | 805-434-2240
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Fax | 805-434-0102
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Provider Business Mailing Address
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Address Line | 2120 GOLDEN HILL RD SUITE 202
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City | PASO ROBLES
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State | CA
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Zip | 93446
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Country | US
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Telephone | 805-434-2240
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Fax | 805-434-0102
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH D BETTENCOURT
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Credential | MD
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Telephone | 805-434-2240
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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 | A67264
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License Number State | CA
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