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General NPI Number Information
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NPI Number | 1609329549
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Entity Type | Individual
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Provider Name | KRISTI BATES RN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 19904 AUGUSTA DR STE 3
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City | LAWRENCEBURG
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State | IN
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Zip | 47025-7549
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Country | US
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Telephone | 812-577-3587
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Fax | 812-203-8079
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Provider Business Mailing Address
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Address Line | 19904 AUGUSTA DR STE 3
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City | LAWRENCEBURG
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State | IN
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Zip | 47025-7549
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Country | US
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Telephone | 812-577-3587
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Fax | 812-203-8079
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN393269
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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.0027854
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License Number State | OH
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