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General NPI Number Information
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NPI Number | 1366611840
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Entity Type | Organization
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Legal Business Name | NORMAN S BATEH O D P A
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 1233 LANE AVE S STE 31
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City | JACKSONVILLE
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State | FL
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Zip | 32205-6254
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Country | US
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Telephone | 904-781-6770
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Fax | 904-764-2130
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Provider Business Mailing Address
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Address Line | 1233 LANE AVE S STE 31
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City | JACKSONVILLE
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State | FL
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Zip | 32205-6254
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Country | US
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Telephone | 904-781-6770
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Fax | 904-781-9403
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Authorized Official
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Title or Position | DOCTOR/ PRESIDENT
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Name | DR. NORMAN S BATEH
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Credential |
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Telephone | 904-874-6531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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