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General NPI Number Information
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NPI Number | 1043554199
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Entity Type | Individual
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Provider Name | DARIA R PATTERSON
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 1320 PROVIDENCE RD
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City | SECANE
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State | PA
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Zip | 19018-2808
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Country | US
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Telephone | 610-574-6667
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 PROVIDENCE RD
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City | SECANE
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State | PA
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Zip | 19018-2808
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Country | US
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Telephone | 610-574-6667
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN538951
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License Number State | PA
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