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General NPI Number Information
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NPI Number | 1386685790
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Entity Type | Individual
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Provider Name | LEANN M BATES
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 03/15/2010
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Provider Practice Location Address
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Address Line | 2121 7TH ST
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City | PARKERSBURG
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State | WV
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Zip | 26101-3803
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Country | US
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Telephone | 304-485-1721
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Fax |
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Provider Business Mailing Address
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Address Line | 201B
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City | MARIETTA
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State | OH
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Zip | 45750-3138
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Country | US
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Telephone | 740-350-7568
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E000723
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1954
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License Number State | WV
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