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General NPI Number Information
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NPI Number | 1295824431
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Entity Type | Organization
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Legal Business Name | CHARLES L BATSON PA-FAMILY
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 450 W SR 434 #2010
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City | LONGWOOD
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State | FL
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Zip | 32750-5187
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Country | US
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Telephone | 407-331-7010
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Fax | 407-331-8071
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Provider Business Mailing Address
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Address Line | PO BOX 915257
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City | LONGWOOD
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State | FL
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Zip | 32791-5257
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Country | US
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Telephone | 407-331-7010
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Fax | 407-331-8071
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CHARLES LEE BATSON
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Credential | MD
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Telephone | 407-621-1056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME46662
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License Number State | FL
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