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General NPI Number Information
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NPI Number | 1124747647
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Entity Type | Individual
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Provider Name | ASHLEY BATISTA
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Gender | Female
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 453 WILLIAM ST
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2019
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Country | US
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Telephone | 908-722-6900
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Fax | 908-722-4273
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Provider Business Mailing Address
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Address Line | 379 CAMPUS DR
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City | SOMERSET
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State | NJ
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Zip | 08873-1161
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Country | US
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Telephone | 734-937-8939
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Fax | 732-418-8373
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00712800
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License Number State | NJ
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