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General NPI Number Information
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NPI Number | 1740609163
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Entity Type | Individual
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Provider Name | VANESSA MICHELLE BATES PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 13619 INWOOD RD STE 380
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City | DALLAS
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State | TX
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Zip | 75244-4642
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Country | US
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Telephone | 844-800-5377
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Fax | 214-782-9155
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Provider Business Mailing Address
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Address Line | 13619 INWOOD RD STE 380
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City | DALLAS
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State | TX
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Zip | 75244-4642
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Country | US
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Telephone | 844-800-5377
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Fax | 214-782-9155
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0000035535
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.018237
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | T-12361
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD11460
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43551
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License Number State | TX
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