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General NPI Number Information
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NPI Number | 1396626651
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Entity Type | Individual
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Provider Name | MARIA DOLORES BELTRAN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9825 LONG BEACH BLVD STE A
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City | SOUTH GATE
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State | CA
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Zip | 90280-4100
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Country | US
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Telephone | 323-249-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 6918 WILCOX AVE APT G
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City | BELL
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State | CA
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Zip | 90201-3844
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Country | US
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Telephone | 323-749-1058
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 36309
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License Number State | CA
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