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General NPI Number Information
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NPI Number | 1942475678
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Entity Type | Individual
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Provider Name | DANIEL R BATEMAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 3707 DOTY RD STE A
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City | WOODSTOCK
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State | IL
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Zip | 60098-7530
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Country | US
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Telephone | 815-334-5018
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Fax | 815-337-5499
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Provider Business Mailing Address
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Address Line | 3707 DOTY RD STE A
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City | WOODSTOCK
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State | IL
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Zip | 60098-7530
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Country | US
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Telephone | 815-334-5018
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Fax | 815-337-5499
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 390200000X
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01075387A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 0420011789
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036162029
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0420011789
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License Number State | VT
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