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General NPI Number Information
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NPI Number | 1518418417
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Entity Type | Individual
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Provider Name | MELINDA KAYE BATES
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Gender | Female
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 1310 HILL RD N STE 104
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City | PICKERINGTON
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State | OH
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Zip | 43147-7816
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Country | US
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Telephone | 614-962-6488
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Fax | 614-962-6489
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Provider Business Mailing Address
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Address Line | 135 AUBURN DR
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City | NEWARK
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State | OH
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Zip | 43055-7557
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Country | US
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Telephone | 740-252-1092
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F1016039
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.020072
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License Number State | OH
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