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General NPI Number Information
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NPI Number | 1992701510
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Entity Type | Organization
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Legal Business Name | BATAVIA INTERNAL MEDICINE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 34 SWAN ST STE 3
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City | BATAVIA
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State | NY
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Zip | 14020-3232
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Country | US
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Telephone | 585-343-4441
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Fax | 585-345-1590
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Provider Business Mailing Address
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Address Line | 34 SWAN ST STE 3
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City | BATAVIA
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State | NY
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Zip | 14020-3232
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Country | US
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Telephone | 585-343-4441
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Fax | 585-345-1590
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Authorized Official
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Title or Position | PARTNER
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Name | JAVEED A MIR
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Credential | MD
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Telephone | 585-343-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 190901-1 & 211016-1
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License Number State | NY
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