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General NPI Number Information
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NPI Number | 1598572232
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Entity Type | Individual
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Provider Name | MIRIAM G BELTRAN
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 950 E MAIN ST BLDG B
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City | SOMERTON
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State | AZ
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Zip | 85350-7409
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Country | US
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Telephone | 928-236-8001
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Fax | 928-627-1509
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Provider Business Mailing Address
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Address Line | 950 E MAIN ST BLDG B
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City | SOMERTON
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State | AZ
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Zip | 85350-7409
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Country | US
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Telephone | 928-236-8001
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Fax | 928-627-1509
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 222855
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License Number State | AZ
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