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General NPI Number Information
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NPI Number | 1649597915
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Entity Type | Individual
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Provider Name | SARA ELIZABETH BATES RN
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Gender | Female
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 151 MAJORS BLVD ROOM 1
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City | LYNCHBURG
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State | TN
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Zip | 37352-0196
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Country | US
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Telephone | 931-759-4251
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Fax | 931-759-6380
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Provider Business Mailing Address
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Address Line | 954 WOFFORD LN
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City | LYNCHBURG
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State | TN
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Zip | 37352-4630
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Country | US
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Telephone | 931-759-6865
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN0000155233
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License Number State | TN
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