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General NPI Number Information
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NPI Number | 1205241148
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Entity Type | Individual
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Provider Name | INGA BATES MD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 21138 PASO ROBLES HWY
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City | LOST HILLS
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State | CA
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Zip | 93249
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Country | US
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Telephone | 800-300-6664
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Fax |
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Provider Business Mailing Address
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Address Line | 3164 FLORA ST
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-6051
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Country | US
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Telephone | 310-489-3220
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 138883
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A138883
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License Number State | CA
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