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General NPI Number Information
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NPI Number | 1518934363
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Entity Type | Individual
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Provider Name | JAMES W. BATEMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 60 NORTH ST. JOSEPH AVE. STE. B
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City | NILES
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State | MI
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Zip | 49120-2282
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Country | US
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Telephone | 269-687-0806
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Fax | 269-687-0811
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Provider Business Mailing Address
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Address Line | 122 GRANT STREET
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City | NILES
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State | MI
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Zip | 49120-2281
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Country | US
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Telephone | 269-687-0808
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Fax | 269-687-0811
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301035099
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License Number State | MI
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