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NPI 1104641919

NPI 1104641919 : SK BATTA TRANSPORTATION : DESERT HOT SPRINGS, CA

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General NPI Number Information
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    NPI Number           |    1104641919
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    Entity Type          |    Organization 
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    Legal Business Name  |    SK BATTA TRANSPORTATION 
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Dates
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    Enumeration Date     |    11/18/2024
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    Last Update Date     |    11/18/2024
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Provider Practice Location Address
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    Address Line         |    68717 PROSPECT WAY 
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    City                 |    DESERT HOT SPRINGS
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    State                |    CA
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    Zip                  |    92240-6564
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    Country              |    US
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    Telephone            |    760-288-6156
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    68717 PROSPECT WAY 
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    City                 |    DESERT HOT SPRINGS
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    State                |    CA
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    Zip                  |    92240-6564
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    Country              |    US
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    Telephone            |    760-288-6156
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    MRS. JUDITH ARLENE BATTA 
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    Credential           |    
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    Telephone            |    760-288-6156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    
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