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General NPI Number Information
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NPI Number | 1487911061
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Entity Type | Individual
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Provider Name | JESUS BATRES
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Gender | Male
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 9808 VENICE BLVD STE 700
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City | CULVER CITY
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State | CA
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Zip | 90232-6824
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Country | US
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Telephone | 310-945-3350
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Fax | 310-840-7023
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Provider Business Mailing Address
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Address Line | 9808 VENICE BLVD STE 700
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City | CULVER CITY
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State | CA
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Zip | 90232-6824
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Country | US
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Telephone | 310-945-3350
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Fax | 310-840-7023
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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 | 167G00000X
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Taxonomy Name | Licensed Psychiatric Technician
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License Number | 36149
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License Number State | CA
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