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General NPI Number Information
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NPI Number | 1568806552
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Entity Type | Individual
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Provider Name | JASON T. BATCHELOR PHARM. D
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Gender | Male
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 134 COURTRIGHT RD
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City | MARTIN
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State | TN
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Zip | 38237-1606
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Country | US
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Telephone | 731-587-3819
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Fax | 731-588-0839
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Provider Business Mailing Address
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Address Line | 194 WELDON DR
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City | MARTIN
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State | TN
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Zip | 38237-1320
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Country | US
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Telephone | 731-587-3819
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Fax | 731-588-0839
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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 | 8793
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License Number State | TN
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