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General NPI Number Information
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NPI Number | 1427679133
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Entity Type | Individual
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Provider Name | TIMOTHY BATY DO
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Gender | Male
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 710 FALLS BLVD S
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City | WYNNE
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State | AR
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Zip | 72396-3514
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Country | US
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Telephone | 870-238-2321
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Fax |
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Provider Business Mailing Address
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Address Line | 28 WYNNEWOOD DR N
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City | WYNNE
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State | AR
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Zip | 72396-1804
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Country | US
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Telephone | 870-362-0302
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-14738
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License Number State | AR
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