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General NPI Number Information
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NPI Number | 1376457259
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Entity Type | Organization
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Legal Business Name | BATES PRIMARY CARE AND WELLNESS
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 201 VICTORY BLVD STE 200
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City | MONROE
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State | LA
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Zip | 71203-2008
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Country | US
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Telephone | 318-940-3732
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Fax |
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Provider Business Mailing Address
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Address Line | 201 VICTORY BLVD STE 200
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City | MONROE
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State | LA
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Zip | 71203-2008
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Country | US
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Telephone | 318-940-3732
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. LATASHA BATES
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Credential | FNP-C
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Telephone | 318-940-3732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | NULL
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