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General NPI Number Information
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NPI Number | 1194370601
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Entity Type | Organization
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Legal Business Name | TATES HEALTH CARE, LLC
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 7303 BEECH AVE
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City | BALTIMORE
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State | MD
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Zip | 21206
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Country | US
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Telephone | 410-301-2081
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Fax |
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Provider Business Mailing Address
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Address Line | 7303 BEECH AVE
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City | BALTIMORE
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State | MD
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Zip | 21206
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Country | US
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Telephone | 410-301-2081
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. ARNETTE OLIVIA TATES
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Credential | DNP, MSN, CRNP
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Telephone | 410-301-2081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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