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General NPI Number Information
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NPI Number | 1023200920
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Entity Type | Individual
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Provider Name | CHAD O PATTERSON MD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 400 UNIVERSITY DR SUITE 203
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City | PRESTONSBURG
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State | KY
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Zip | 41653-1080
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Country | US
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Telephone | 606-886-8183
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Fax | 606-886-0575
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Provider Business Mailing Address
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Address Line | PO BOX 406
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City | PRESTONSBURG
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State | KY
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Zip | 41653-0406
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Country | US
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Telephone | 606-886-8183
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Fax | 606-886-0575
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 41195
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License Number State | KY
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