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Individual
AVERY BATIC
Active
Individual
AVERY BATIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005243A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300132939
—
IN
Enumeration date
04/15/2026
Last updated
10/07/2026
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