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General NPI Number Information
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NPI Number | 1578968194
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Entity Type | Individual
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Provider Name | CAROLINA BELETZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 27802 BOGEN RD
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-3875
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Country | US
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Telephone | 830-237-3871
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Fax |
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Provider Business Mailing Address
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Address Line | 750 WOLFETON WAY
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-2023
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Country | US
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Telephone | 316-727-4663
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 62349
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License Number State | TX
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