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General NPI Number Information
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NPI Number | 1891048898
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Entity Type | Individual
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Provider Name | MIKA LEA BATES APRN
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Gender | Female
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 3330 SUGARLOAF PKWY STE A
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-5570
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Country | US
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Telephone | 678-710-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 4867 LEEDS CT
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City | ATLANTA
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State | GA
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Zip | 30338-5025
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Country | US
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Telephone |
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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-NP233364
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3007515
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License Number State | KY
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