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General NPI Number Information
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NPI Number | 1447416458
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Entity Type | Individual
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Provider Name | RICHARD J BATISTTA
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Gender | Male
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 1880 ROUTE 6
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City | CARMEL
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State | NY
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Zip | 10512-2355
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Country | US
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Telephone | 845-228-5800
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Fax | 845-225-3324
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Provider Business Mailing Address
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Address Line | 7 MAPLE HILL DR
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City | MAHOPAC
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State | NY
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Zip | 10541-3806
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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 |
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 008696-1
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License Number State | NY
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