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General NPI Number Information
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NPI Number | 1700037132
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Entity Type | Individual
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Provider Name | ROBIN M BATES LPC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 24530 SOUTHSIDE RD STE. D
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City | WAYNESVILLE
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State | MO
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Zip | 65583-3317
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Country | US
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Telephone | 573-528-0485
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Fax | 573-774-2535
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Provider Business Mailing Address
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Address Line | 24900 TREETOP LN
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City | ST ROBERT
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State | MO
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Zip | 65584
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Country | US
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Telephone | 573-528-0485
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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 | 2008027568
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License Number State | MO
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