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General NPI Number Information
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NPI Number | 1235494162
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Entity Type | Individual
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Provider Name | DANIEL BATALLA
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Gender | Male
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 2017 E 4TH ST
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City | LONG BEACH
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State | CA
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Zip | 90814-1001
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Country | US
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Telephone | 562-434-4455
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Fax | 562-433-6428
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Provider Business Mailing Address
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Address Line | 4001 LONG BEACH BLVD
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City | LONG BEACH
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State | CA
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Zip | 90807-2616
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Country | US
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Telephone | 562-427-7671
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Fax | 562-595-4704
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMF 87337
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 118839
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License Number State | CA
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