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General NPI Number Information
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NPI Number | 1003081787
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Entity Type | Individual
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Provider Name | JENNIFER PATANO CNP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE MS O.7.720
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-987-8949
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Fax | 206-987-8943
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Provider Business Mailing Address
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Address Line | 636 W NICKERSON ST APT. 3
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City | SEATTLE
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State | WA
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Zip | 98119-1542
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Country | US
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Telephone | 917-858-6306
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 382057
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 004405
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP60332127
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC60340418
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License Number State | WA
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