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General NPI Number Information
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NPI Number | 1912157546
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Entity Type | Individual
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Provider Name | SHEENU BATRA P.A.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 520 E 70TH ST # 341
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City | NEW YORK
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State | NY
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Zip | 10021-9800
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Country | US
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Telephone | 212-746-7576
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Fax | 212-746-6640
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Provider Business Mailing Address
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Address Line | 19 SCHENCK AVE APT 2D
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City | GREAT NECK
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State | NY
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Zip | 11021-3632
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Country | US
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Telephone | 516-708-1266
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Fax | 212-730-1846
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 012369
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License Number State | NY
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