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General NPI Number Information
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NPI Number | 1902103278
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Entity Type | Individual
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Provider Name | TARA L. BATCHELOR BCABA
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Gender | Female
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 7825 TURKEY CREEK RD
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City | PLANT CITY
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State | FL
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Zip | 33567-3027
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Country | US
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Telephone | 813-784-4534
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Fax | 813-650-0102
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Provider Business Mailing Address
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Address Line | PO BOX 122
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City | DURANT
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State | FL
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Zip | 33530-0122
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Country | US
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Telephone | 813-784-4534
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Fax | 813-650-0102
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0-03-0830
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License Number State | FL
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