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General NPI Number Information
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NPI Number | 1861497570
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Entity Type | Individual
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Provider Name | MINOCHER MANECK BATTIWALLA MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 09/11/2018
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Provider Practice Location Address
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Address Line | 2410 PATTERSON ST STE 500
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City | NASHVILLE
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State | TN
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Zip | 37203
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Country | US
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Telephone | 615-342-4912
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Fax | 615-342-4913
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Provider Business Mailing Address
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Address Line | 2410 PATTERSON ST STE 500
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City | NASHVILLE
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State | TN
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Zip | 37203-6521
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Country | US
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Telephone | 615-342-4912
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Fax | 615-342-4913
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 002009
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D0069707
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 56812
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License Number State | TN
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