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General NPI Number Information
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NPI Number | 1699204321
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Entity Type | Individual
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Provider Name | MARICELA TONIE BELTRAN MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 01/08/2022
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Provider Practice Location Address
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Address Line | 1809 W REDLANDS BLVD
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City | REDLANDS
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State | CA
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Zip | 92373-8054
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Country | US
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Telephone | 909-335-3026
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 BARTON RD APT 3007
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City | REDLANDS
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State | CA
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Zip | 92373-5357
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Country | US
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Telephone | 562-533-6271
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A167331
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | A167331
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | A167331
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A167331
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License Number State | CA
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