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General NPI Number Information
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NPI Number | 1417914193
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Entity Type | Individual
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Provider Name | RODOLFO R. BATARSE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 71511 HIGHWAY 111 SUITE H
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4465
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Country | US
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Telephone | 760-773-2200
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Fax | 760-773-2202
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Provider Business Mailing Address
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Address Line | 71511 HIGHWAY 111 SUITE H
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4465
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Country | US
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Telephone | 760-773-2200
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Fax | 760-773-2202
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A74778
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A74778
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License Number State | CA
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