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General NPI Number Information
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NPI Number | 1548223308
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Entity Type | Individual
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Provider Name | LYDIA E. BELTRAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | SAN GREGORIO ST.1431 ALTAMESA
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City | RIO PIEDRAS
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State | PR
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Zip | 00936-3628
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Country | US
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Telephone | 787-277-6565
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Fax |
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Provider Business Mailing Address
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Address Line | SAN GREGORIO ST. 1431 ALTAMESA
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City | RIO PIEDRAS
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State | PUERTO RICO
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Zip | 00921
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Country | UM
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Telephone | 787-783-5170
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Fax | 787-272-3943
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 010586
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License Number State | PR
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