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General NPI Number Information
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NPI Number | 1568435329
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Entity Type | Individual
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Provider Name | JOE B BELUE MD
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 534 S BECKHAM AVE
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City | TYLER
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State | TX
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Zip | 75702-8310
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Country | US
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Telephone | 903-531-4530
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Fax | 903-531-4553
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Provider Business Mailing Address
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Address Line | PO BOX 5500
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City | TYLER
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State | TX
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Zip | 75712-5500
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Country | US
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Telephone | 903-324-6400
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Fax | 903-593-7852
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D2088
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License Number State | TX
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