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General NPI Number Information
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NPI Number | 1093941577
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Entity Type | Individual
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Provider Name | CAROLE LYNNE BATES D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 1010 WEST AUDIE MURPHY PARKWAY FARMERSVILLE DENTAL
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City | FARMERSVILLE
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State | TX
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Zip | 75442
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Country | US
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Telephone | 972-784-8282
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Fax | 972-784-7084
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Provider Business Mailing Address
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Address Line | 1010 WEST AUDIE MURPHY PARKWAY CAROL L. BATES D.D.S. PA.
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City | FARMERSVILLE
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State | TX
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Zip | 75442
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Country | US
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Telephone | 972-784-8282
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Fax | 972-784-7084
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0024719
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License Number State | TX
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