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General NPI Number Information
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NPI Number | 1962932335
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Entity Type | Individual
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Provider Name | KATALINA BELTRAN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 06/18/2017
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Provider Practice Location Address
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Address Line | 9219 US HIGHWAY 19
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City | PORT RICHEY
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State | FL
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Zip | 34668-4854
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Country | US
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Telephone | 727-491-7335
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Fax |
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Provider Business Mailing Address
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Address Line | 7950 SEASONS LN
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-1282
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Country | US
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Telephone | 727-457-8973
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN26646
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License Number State | FL
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