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General NPI Number Information
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NPI Number | 1952743429
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Entity Type | Individual
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Provider Name | KIMBERLY ROBERTS BATES DMD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 1303 W LEXINGTON AVE STE A
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City | WINCHESTER
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State | KY
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Zip | 40391-3100
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Country | US
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Telephone | 859-745-4455
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Fax | 859-745-4466
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Provider Business Mailing Address
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Address Line | 1303 W LEXINGTON AVE STE A
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City | WINCHESTER
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State | KY
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Zip | 40391-3100
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Country | US
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Telephone | 859-745-4455
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Fax | 859-745-4466
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DGD.8267 GD
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9358
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License Number State | KY
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