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General NPI Number Information
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NPI Number | 1396664207
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Entity Type | Individual
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Provider Name | AURA MARIA BETANCOURT
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 20 MAVERICK SQ FL 3
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City | EAST BOSTON
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State | MA
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Zip | 02128-2335
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Country | US
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Telephone | 617-569-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 LEXINGTON RD
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City | VERSAILLES
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State | KY
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Zip | 40383-1738
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Country | US
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Telephone | 859-251-4700
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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