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General NPI Number Information
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NPI Number | 1245003557
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Entity Type | Individual
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Provider Name | LCENA D BATEMAN
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Gender | Female
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 7240 CHASE OAKS BLVD
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City | PLANO
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State | TX
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Zip | 75025-5901
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Country | US
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Telephone | 844-999-0019
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Fax | 888-678-6794
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Provider Business Mailing Address
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Address Line | 1884 EASTLINE RD
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City | BELLS
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State | TX
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Zip | 75414-2842
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Country | US
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Telephone | 903-294-8554
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1140488
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License Number State | TX
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