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General NPI Number Information
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NPI Number | 1609919323
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Entity Type | Individual
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Provider Name | MOHAMMAD KHALAF BATAYNEH M.D.,
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Gender | Male
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 01/19/2008
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Provider Practice Location Address
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Address Line | 32472 SCHOOLCRAFT RD
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City | LIVONIA
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State | MI
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Zip | 48150-4309
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Country | US
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Telephone | 734-425-7150
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Fax | 734-425-7151
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Provider Business Mailing Address
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Address Line | 32472 SCHOOLCRAFT RD
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City | LIVONIA
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State | MI
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Zip | 48150-4309
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Country | US
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Telephone | 734-425-7150
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Fax | 734-425-7151
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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 | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | 4103033756
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License Number State | MI
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