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General NPI Number Information
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NPI Number | 1902802697
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Entity Type | Individual
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Provider Name | STEPHEN I. GATES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 3601 4TH ST # MS 8143
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City | LUBBOCK
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State | TX
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Zip | 79430-0001
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Country | US
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Telephone | 806-743-2757
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Fax |
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Provider Business Mailing Address
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Address Line | 36014 TH ST STOP 8143
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City | LUBBOCK
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State | TX
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Zip | 79430-8143
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Country | US
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Telephone | 806-743-2757
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Fax | 806-743-1071
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | F6654
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207LH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Anesthesiology) Physician
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License Number | F6654
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | F6654
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F6654
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License Number State | TX
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