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General NPI Number Information
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NPI Number | 1568490134
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Entity Type | Organization
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Legal Business Name | ANTONIO BELTRAN M.D. PA
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 2220 SE OCEAN BLVD SUITE 203
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City | STUART
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State | FL
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Zip | 34996-3301
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Country | US
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Telephone | 772-872-6120
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Fax | 772-872-6165
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Provider Business Mailing Address
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Address Line | 2220 SE OCEAN BLVD SUITE 203
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City | STUART
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State | FL
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Zip | 34996-3301
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Country | US
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Telephone | 772-872-6120
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Fax | 772-872-6165
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANTONIO BELTRAN
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Credential | M.D.
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Telephone | 772-872-6120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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