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General NPI Number Information
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NPI Number | 1750630216
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Entity Type | Organization
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Legal Business Name | MIGUEL BATLLE MD PA
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 2233 PARK AVE 405
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City | ORANGE PARK
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State | FL
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Zip | 32073-5570
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Country | US
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Telephone | 904-215-8727
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Fax | 904-215-7829
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Provider Business Mailing Address
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Address Line | 2233 PARK AVE 405
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City | ORANGE PARK
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State | FL
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Zip | 32073-5570
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Country | US
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Telephone | 904-215-8727
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Fax | 904-215-7829
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MIGUEL BATLLE
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Credential | M.D.
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Telephone | 904-215-8727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0069875
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License Number State | FL
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