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General NPI Number Information
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NPI Number | 1477662401
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Entity Type | Individual
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Provider Name | LYNN T BATALDEN DPT
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/20/2012
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Provider Practice Location Address
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Address Line | 400 E HILLCREST DR STE 110
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City | DEKALB
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State | IL
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Zip | 60115-2470
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Country | US
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Telephone | 815-758-5508
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Fax | 815-758-5537
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Provider Business Mailing Address
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Address Line | 592 BUSH ST
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City | DEKALB
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State | IL
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Zip | 60115-4086
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Country | US
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Telephone | 815-754-9814
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 070-005903
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License Number State | IL
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