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1801028840 NPI number — CHRISTINA MARIE BATES L.M.T.

NPI Number: 1801028840
Health Care Provider/Practitioner: CHRISTINA MARIE BATES L.M.T.

Information about “1801028840” NPI (CHRISTINA MARIE BATES L.M.T.) exists in 1801028840 in HTML format HTML  |  1801028840 in plain Text format TXT  |  1801028840 in PDF (Portable Document Format) PDF  |  1801028840 in an XML format XML  formats.

NPI Number : 1801028840 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801028840",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BATES",
    "FirstName": "CHRISTINA",
    "MiddleName": "MARIE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "L.M.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3959 S NOVA RD",
    "SecondLineMailingAddress": "BUILDING A, SUITE 3 MARCELLE MEDICAL EXECUTIVE CENTER",
    "MailingAddressCityName": "PORT ORANGE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32127-9278",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "386-756-3240",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3959 S NOVA RD",
    "SecondLinePracticeLocationAddress": "BUILDING A, SUITE 3 MARCELLE MEDICAL EXECUTIVE CENTER",
    "PracticeLocationAddressCityName": "PORT ORANGE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32127-9278",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-756-3240",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/09/2009",
    "LastUpdateDate": "08/09/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "172M00000X",
        "TaxonomyName": "Mechanotherapist",
        "LicenseNumber": "47613",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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