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General NPI Number Information
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NPI Number | 1932707122
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Entity Type | Individual
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Provider Name | MARCUS BATSON LLBSW, MPA
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Gender | Male
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 1402 S SAGINAW ST
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City | FLINT
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State | MI
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Zip | 48503-3705
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Country | US
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Telephone | 810-767-5750
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 FOX HILL DR APT 10
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City | GRAND BLANC
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State | MI
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Zip | 48439-5238
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Country | US
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Telephone | 810-293-5349
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6802090934
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License Number State | MI
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