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General NPI Number Information
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NPI Number | 1427304856
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Entity Type | Organization
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Legal Business Name | BATTO
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Dates
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Enumeration Date | 08/03/2012
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Last Update Date | 08/03/2012
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Provider Practice Location Address
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Address Line | 1801 W OKLAND PARK 5305
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City | FORT LAUDERDLE
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State | FL
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Zip | 33310-5305
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Country | US
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Telephone | 954-275-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 4023 NW 38TH AVE
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33309-4812
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | MAHALAH LOUSE UNDINE J BATTO
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Credential | MSN
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Telephone | 954-275-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 9257932
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 281P00000X
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Taxonomy Name | Chronic Disease Hospital
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License Number | 9257932
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License Number State | FL
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