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General NPI Number Information
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NPI Number | 1821876731
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Entity Type | Individual
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Provider Name | ABIGAIL BLAINE BATES APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 860 BETHESDA DR STE 2
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City | ZANESVILLE
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State | OH
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Zip | 43701-1800
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Country | US
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Telephone | 740-586-6690
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Fax | 740-252-5162
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Provider Business Mailing Address
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Address Line | 2005 LONE STAR LN
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City | ZANESVILLE
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State | OH
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Zip | 43701-0005
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Country | US
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Telephone | 440-453-5588
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0034901
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License Number State | OH
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