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General NPI Number Information
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NPI Number | 1922629526
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Entity Type | Individual
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Provider Name | DR. CECILIA BELTRAN
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Gender | Female
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | AVENIDA MARGARITAS #11 COLONIA JARDIN
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City | H. MATAMOROS
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State | TAMAULIPAS
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Zip | 87330
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Country | MX
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Telephone | 956-909-2543
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Fax |
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Provider Business Mailing Address
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Address Line | 1762 NORTHWOOD DR
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City | BROWNSVILLE
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State | TX
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Zip | 78520
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Country | US
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Telephone | 956-755-7195
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2884750
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License Number State | TX
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