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General NPI Number Information
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NPI Number | 1659670495
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Entity Type | Individual
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Provider Name | WENDY M BATISTA O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 10071 W FLAGLER ST STE C 100
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City | MIAMI
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State | FL
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Zip | 33174-1825
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Country | US
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Telephone | 305-223-2447
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Fax | 305-223-2448
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Provider Business Mailing Address
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Address Line | 13132 SW 54TH CT
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City | MIRAMAR
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State | FL
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Zip | 33027-5402
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Country | US
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Telephone | 305-233-2447
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2216
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618002074
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00636600
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 4784
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License Number State | FL
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