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General NPI Number Information
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NPI Number | 1699973701
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Entity Type | Organization
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Legal Business Name | JAMES H BATES MD PLLC
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 2690 S EAGLE RD STE 150
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City | MERIDIAN
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State | ID
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Zip | 83642-6704
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Country | US
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Telephone | 208-401-1000
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Fax | 208-401-1010
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Provider Business Mailing Address
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Address Line | 2690 S EAGLE RD STE 150
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City | MERIDIAN
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State | ID
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Zip | 83642-6704
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Country | US
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Telephone | 208-401-1000
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Fax | 208-401-1010
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES H BATES
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Credential | M.D.
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Telephone | 208-401-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | M7754
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License Number State | ID
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