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General NPI Number Information
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NPI Number | 1922361252
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Entity Type | Organization
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Legal Business Name | MARLENE J. BATAVIA, P.A.
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 07/03/2012
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Provider Practice Location Address
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Address Line | 7610 GLENDEVON LN 5210 LINTON BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2805
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Country | US
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Telephone | 561-496-6400
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Fax | 561-637-6226
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Provider Business Mailing Address
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Address Line | 7610 GLENDEVON LN
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2805
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Country | US
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Telephone | 561-496-6400
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Fax | 561-637-6226
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. MARLENE J. BATAVIA
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Credential | LCSW
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Telephone | 561-496-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | SW2681
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License Number State | FL
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