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General NPI Number Information
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NPI Number | 1801353909
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Entity Type | Individual
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Provider Name | FRANCISCO ANTONIO BETANCOURT DNP, CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 5030 BRUNSON DR
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City | CORAL GABLES
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State | FL
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Zip | 33146-2412
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Country | US
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Telephone | 305-284-3666
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 SW 104TH AVE
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City | MIAMI
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State | FL
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Zip | 33174-2770
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Country | US
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Telephone | 305-832-9716
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9363772
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 11017744
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License Number State | FL
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