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General NPI Number Information
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NPI Number | 1598599722
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Entity Type | Organization
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Legal Business Name | RAUL J BELTRAN
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Dates
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Enumeration Date | 08/29/2024
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 10967 LAKE UNDERHILL RD STE 107
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City | ORLANDO
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State | FL
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Zip | 32825-4434
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Country | US
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Telephone | 321-306-6014
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Fax | 321-732-4932
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Provider Business Mailing Address
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Address Line | 10967 LAKE UNDERHILL RD STE 107
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City | ORLANDO
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State | FL
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Zip | 32825-4434
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Country | US
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Telephone | 407-973-4537
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Fax | 407-264-8367
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Authorized Official
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Title or Position | DNP,FNP-C
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Name | DR. RAUL J BELTRAN
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Credential | DNP,FNP-C
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Telephone | 407-973-4537
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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 |
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License Number State |
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