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General NPI Number Information
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NPI Number | 1730598236
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Entity Type | Organization
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Legal Business Name | JANELLE BATTA, LLC
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 920 W KATHYS WAY SUITE C
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City | GREENSBURG
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State | IN
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Zip | 47240-3412
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Country | US
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Telephone | 812-222-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 920 W KATHYS WAY SUITE C
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City | GREENSBURG
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State | IN
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Zip | 47240-3412
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Country | US
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Telephone | 812-222-2626
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANELLE BATTA
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Credential |
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Telephone | 812-212-1237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 87000007A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | I.0005903
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 34003351A
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License Number State | IN
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