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General NPI Number Information
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NPI Number | 1972050623
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Entity Type | Individual
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Provider Name | PAULA BELTRAN APNP
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Gender | Female
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 405 LAKE ZURICH RD
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City | BARRINGTON
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State | IL
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Zip | 60010-3141
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Country | US
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Telephone | 847-381-5599
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Fax | 847-381-1431
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Provider Business Mailing Address
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Address Line | 3052 S HIGH CREST RD
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City | BELOIT
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State | WI
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Zip | 53511-1656
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Country | US
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Telephone | 608-921-0288
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 152313-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209015483
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License Number State | IL
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