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General NPI Number Information
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NPI Number | 1316152374
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Entity Type | Organization
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Legal Business Name | BATISTA FAMILY DENTAL L.L.C
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Dates
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Enumeration Date | 05/13/2007
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 5700 BERGENLINE AVE 2F
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1254
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Country | US
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Telephone | 201-295-9700
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Fax | 201-295-3141
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Provider Business Mailing Address
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Address Line | 5700 BERGENLINE AVE SECOND FLOOR
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1254
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Country | US
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Telephone | 201-295-9700
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Fax | 201-295-3141
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RAMON E BATISTA SR.
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Credential | DDS
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Telephone | 201-295-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI20514
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License Number State | NJ
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