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General NPI Number Information
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NPI Number | 1306860762
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Entity Type | Organization
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Legal Business Name | D. GARY BATTEN, D. O. MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1101 N PACIFIC AVE STE 104
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City | GLENDALE
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State | CA
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Zip | 91202-4313
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Country | US
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Telephone | 818-552-5000
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Fax | 818-552-2959
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Provider Business Mailing Address
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Address Line | 1101 N PACIFIC AVE STE 104
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City | GLENDALE
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State | CA
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Zip | 91202-4313
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Country | US
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Telephone | 818-552-5000
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Fax | 818-552-2959
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GARY D BATTEN
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Credential |
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Telephone | 818-552-5000
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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 | 20A6687
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License Number State | CA
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