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General NPI Number Information
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NPI Number | 1497026744
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Entity Type | Individual
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Provider Name | DR. EMILY ROSE BATTILLO
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Gender | Female
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 683 E BASE STREET
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City | MADISON
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State | FL
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Zip | 32340
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Country | US
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Telephone | 850-253-2599
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Fax | 850-253-2627
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Provider Business Mailing Address
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Address Line | 680 OSTEEN RD
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City | PERRY
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State | FL
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Zip | 32347-1208
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Country | US
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Telephone | 850-838-2131
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS42541
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License Number State | FL
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