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General NPI Number Information
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NPI Number | 1033835830
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Entity Type | Individual
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Provider Name | ALEXANDRIA MARIA BATISTA RPH
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Gender | Female
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 308 S HUNTINGTON ST
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City | SYRACUSE
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State | IN
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Zip | 46567-1572
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Country | US
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Telephone | 574-457-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 N HARRISON ST UNIT 5
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City | SYRACUSE
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State | IN
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Zip | 46567-1071
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Country | US
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Telephone | 574-325-0048
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | CV2201275
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License Number State | IN
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