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General NPI Number Information
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NPI Number | 1801462189
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Entity Type | Organization
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Legal Business Name | MASON T. BATES, DDS, MSD, PLLC
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 01/14/2023
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Provider Practice Location Address
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Address Line | 1925 THOMSON DR
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City | LYNCHBURG
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State | VA
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Zip | 24501-1008
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Country | US
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Telephone | 434-846-4014
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Fax | 434-846-2467
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Provider Business Mailing Address
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Address Line | 1925 THOMSON DR
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City | LYNCHBURG
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State | VA
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Zip | 24501-1008
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Country | US
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Telephone | 434-846-4014
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Fax | 434-846-2467
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Authorized Official
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Title or Position | MEMBER
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Name | DR. MASON THOMAS BATES
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Credential | DDS
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Telephone | 281-543-3134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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