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General NPI Number Information
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NPI Number | 1679574453
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Entity Type | Individual
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Provider Name | CRAIG BATLEY DO
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | W832 HWY 91 SUITE 3
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City | BERLIN
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State | WI
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Zip | 54923
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Country | US
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Telephone | 920-361-6400
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Fax | 920-361-6407
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Provider Business Mailing Address
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Address Line | W832 HWY 91 SUITE 3
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City | BERLIN
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State | WI
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Zip | 54923
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Country | US
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Telephone | 920-361-6400
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Fax | 920-361-6407
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 45768-021
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 45768-021
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License Number State | WI
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