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General NPI Number Information
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NPI Number | 1912542697
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Entity Type | Individual
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Provider Name | BATULIO J LOUIS APN
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Gender | Male
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Dates
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Enumeration Date | 11/17/2019
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 123 E MAIN ST UNIT 246
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City | MARLTON
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State | NJ
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Zip | 08053-7412
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Country | US
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Telephone | 973-873-5833
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Fax | 973-265-7050
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Provider Business Mailing Address
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Address Line | 419 NORTHFIELD AVE STE 1
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3091
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Country | US
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Telephone | 973-873-5833
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Fax | 973-265-7050
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ01127300
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License Number State | NJ
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