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General NPI Number Information
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NPI Number | 1518908128
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Entity Type | Individual
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Provider Name | TERRY BATES M.S.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8203 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21234-5888
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Country | US
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Telephone | 410-882-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 7130 OLIVIA RD
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City | BALTIMORE
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State | MD
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Zip | 21220-1181
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Country | US
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Telephone | 410-335-5798
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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 | LC0451
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License Number State | MD
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