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General NPI Number Information
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NPI Number | 1578710174
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Entity Type | Individual
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Provider Name | GUSTAVO ALBERTO BATISTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 09/28/2015
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Provider Practice Location Address
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Address Line | 8212 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33144-2028
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Country | US
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Telephone | 305-521-8740
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Fax |
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Provider Business Mailing Address
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Address Line | 888 S DOUGLAS RD PH 4
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City | CORAL GABLES
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State | FL
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Zip | 33134-7510
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Country | US
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Telephone | 786-310-0383
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD437688
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0116023871
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 0116023871
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME 122962
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License Number State | FL
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