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General NPI Number Information
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NPI Number | 1861629669
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Entity Type | Individual
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Provider Name | PAUL JOSEPH BATASTINI BS, DDS, FACD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 06/18/2009
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Provider Practice Location Address
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Address Line | 69 BERLIN RD
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City | CHERRY HILL
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State | NJ
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Zip | 08034-3572
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Country | US
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Telephone | 856-428-1888
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Fax | 856-354-2081
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Provider Business Mailing Address
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Address Line | 69 BERLIN RD
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City | CHERRY HILL
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State | NJ
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Zip | 08034-3572
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Country | US
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Telephone | 856-428-1888
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Fax | 856-354-2081
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22D100713200
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License Number State | NJ
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