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General NPI Number Information
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NPI Number | 1033317169
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Entity Type | Organization
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Legal Business Name | ANN B. PATTERSON MD, PC
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 721 W 13TH ST STE 322
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City | JASPER
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State | IN
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Zip | 47546-1855
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Country | US
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Telephone | 812-634-6646
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Fax | 812-634-2104
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Provider Business Mailing Address
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Address Line | 721 W 13TH ST STE 322
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City | JASPER
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State | IN
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Zip | 47546-1855
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Country | US
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Telephone | 812-634-6646
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Fax | 812-634-2104
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANN B PATTERSON
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Credential | MD
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Telephone | 812-634-6646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01047312A
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License Number State | IN
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