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General NPI Number Information
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NPI Number | 1639729700
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Entity Type | Individual
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Provider Name | ROSANNA JOYCE MELO BATTAD
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Gender | Female
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 3939 US HIGHWAY 80 E STE 458A
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City | MESQUITE
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State | TX
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Zip | 75150-8109
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Country | US
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Telephone | 972-289-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 WINTER PARK LN
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City | LEWISVILLE
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State | TX
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Zip | 75077-2405
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Country | US
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Telephone | 972-522-9260
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP143038
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License Number State | TX
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