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General NPI Number Information
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NPI Number | 1952601262
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Entity Type | Individual
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Provider Name | KATHY J BELTZ NP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 1234 W CEDAR AVE
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City | GLADWIN
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State | MI
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Zip | 48624-1818
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Country | US
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Telephone | 989-246-2510
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Fax | 989-246-2507
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Provider Business Mailing Address
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Address Line | 9540 PLEASANT RD W
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City | SAINT HELEN
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State | MI
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Zip | 48656-9759
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Country | US
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Telephone | 989-701-6969
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704179544
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License Number State | MI
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