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NPI Code Detail

MEDICARE: MS. PATRICIA BATES MS, AOM

MEDICARE: MS. PATRICIA BATES MS, AOM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC00002988WA

General Provider Information

NPI Number : 1306051388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA BATES MS, AOM
Provider Business Mailing Address
First Line : 218 MAIN ST
Second Line : # 282
City : KIRKLAND
State : WA
Zip : 98033-6108
Country : US
Telephone Number : 425-445-0452
Fax Number : 425-827-6806
Provider Business Practice Location Address
First Line : 14044 NE 8TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98007-4129
Country : US
Telephone Number : 425-746-8227
Fax Number : 425-827-6806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2007
Last Update Date : 07/08/2007

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