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General NPI Number Information
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NPI Number | 1033912605
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Entity Type | Individual
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Provider Name | PATRICIA ANN DEVER
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 700 LIBERTY LN # 4
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City | WEST CARROLLTON
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State | OH
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Zip | 45449-2135
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Country | US
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Telephone | 937-247-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 395 CLEAR SPRINGS CT
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City | CARLISLE
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State | OH
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Zip | 45005-7322
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Country | US
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Telephone | 937-287-7411
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | YU1004590
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License Number State | OH
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