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General NPI Number Information
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NPI Number | 1396141479
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Entity Type | Organization
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Legal Business Name | MICHAEL BABATZ OD PA
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 2336 CLEVELAND AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-3540
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Country | US
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Telephone | 239-205-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 2336 CLEVELAND AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-3540
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Country | US
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Telephone | 239-205-7006
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MICHAEL BABATZ
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Credential | O.D
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Telephone | 239-292-3933
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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 | OPC2926
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License Number State | FL
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