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General NPI Number Information
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NPI Number | 1538423710
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Entity Type | Individual
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Provider Name | SONYA M BATT OT
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Gender | Female
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 03/15/2015
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Provider Practice Location Address
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Address Line | 2433 VALENTINE BLVD NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-3070
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Country | US
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Telephone | 616-799-7891
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Fax | 616-863-2030
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Provider Business Mailing Address
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Address Line | 2433 VALENTINE BLVD NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-3070
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Country | US
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Telephone | 616-799-7891
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Fax | 616-863-2030
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201005978
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License Number State | MI
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