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General NPI Number Information
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NPI Number | 1689918484
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Entity Type | Individual
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Provider Name | JAY DELA CRUZ BELLEZA LVN
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Gender | Female
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 11/16/2012
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Provider Practice Location Address
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Address Line | 21738 HARDY OAK BLVD STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4864
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Country | US
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Telephone | 210-496-8050
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Fax |
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Provider Business Mailing Address
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Address Line | 2421 ALA WAI BLVD APT 406
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City | HONOLULU
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State | HI
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Zip | 96815-3411
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Country | US
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Telephone | 808-294-9393
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | LVN194795
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License Number State | CA
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