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General NPI Number Information
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NPI Number | 1710697370
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Entity Type | Individual
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Provider Name | BRITTANY BATES
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Gender | Female
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 150 WOODCREST DR APT 410
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32084-8656
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Country | US
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Telephone | 904-460-7922
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Fax |
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Provider Business Mailing Address
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Address Line | 150 WOODCREST DR APT 410
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32084-8656
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Country | US
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Telephone | 904-460-7922
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | CNA253919
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License Number State | FL
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