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General NPI Number Information
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NPI Number | 1720533409
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Entity Type | Individual
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Provider Name | JULIO CESAR BATISTA
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Gender | Male
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 24797 S HIGHWAY 66 UNIT 5
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City | CLAREMORE
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State | OK
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Zip | 74019-2402
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Country | US
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Telephone | 918-342-2080
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Fax |
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Provider Business Mailing Address
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Address Line | 7505 S URBANA AVE
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City | TULSA
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State | OK
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Zip | 74136-6113
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Country | US
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Telephone | 918-630-0104
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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