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General NPI Number Information
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NPI Number | 1063843340
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Entity Type | Individual
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Provider Name | ELZONA MAE PATTERSON PMHNP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2481 LLEWELLYN AVENUE
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City | FORT MEADE
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State | MD
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Zip | 20755
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Country | US
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Telephone | 301-677-8749
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Fax | 301-677-8957
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Provider Business Mailing Address
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Address Line | 2481 LLEWELLYN AVENUE
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City | FORT MEADE
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State | MD
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Zip | 20755
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Country | US
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Telephone | 301-677-8749
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Fax | 301-677-8957
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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 | 286500000X
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Taxonomy Name | Military Hospital
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License Number | 26NR12203000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ00452300
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License Number State | NJ
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