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General NPI Number Information
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NPI Number | 1427112572
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Entity Type | Individual
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Provider Name | KEVIN N BATTERBEE D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 03/06/2009
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Provider Practice Location Address
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Address Line | 2135 SOUTHGATE RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906
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Country | US
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Telephone | 719-633-4114
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Fax | 719-633-5984
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Provider Business Mailing Address
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Address Line | 13255 HONEY RUN WAY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921
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Country | US
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Telephone | 719-465-1178
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Fax | 719-358-7638
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5101013530
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 47335
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License Number State | CO
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