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General NPI Number Information
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NPI Number | 1649341983
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Entity Type | Individual
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Provider Name | GAMALIEL P BATALLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 01/14/2019
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Provider Practice Location Address
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Address Line | 7337 CARITAS CIRLE NW
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City | MASSILLON
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State | OH
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Zip | 44646
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Country | US
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Telephone | 330-830-6110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 951103
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City | CLEVELAND
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State | OH
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Zip | 44193-0008
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Country | US
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Telephone | 330-489-1074
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Fax | 330-489-1281
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD427683
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 51050
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 35.096379
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | MD437683
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License Number State | PA
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