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General NPI Number Information
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NPI Number | 1467336982
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Entity Type | Individual
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Provider Name | TRECEL BATES
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 400 E PRATT ST FL 8
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City | BALTIMORE
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State | MD
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Zip | 21202-3180
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Country | US
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Telephone | 443-396-5855
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Fax |
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Provider Business Mailing Address
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Address Line | 4902 GOODNOW RD APT F
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City | BALTIMORE
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State | MD
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Zip | 21206-6070
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Country | US
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Telephone | 202-704-4617
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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