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General NPI Number Information
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NPI Number | 1326379652
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Entity Type | Individual
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Provider Name | ROBERT BRIGHAM BATES D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2010
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 104 WHALON ST STE 2C
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City | FITCHBURG
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State | MA
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Zip | 01420
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Country | US
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Telephone | 978-343-4798
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Fax | 978-343-4815
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Provider Business Mailing Address
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Address Line | 104 WHALON STREET SUITE 2C
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City | FITCHBURG
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State | MA
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Zip | 01420
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Country | US
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Telephone | 978-343-4798
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Fax | 978-343-4815
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1108
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License Number State | MA
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