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General NPI Number Information
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NPI Number | 1093050833
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Entity Type | Individual
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Provider Name | DAVID LEROY PATTERSON PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 2153 E MAIN ST
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City | DUNCAN
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State | SC
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Zip | 29334-8724
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Country | US
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Telephone | 864-486-4706
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Fax | 864-486-4713
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Provider Business Mailing Address
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Address Line | 2153 E MAIN ST
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City | DUNCAN
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State | SC
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Zip | 29334-8724
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Country | US
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Telephone | 864-486-4706
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Fax | 864-486-4713
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5483
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License Number State | SC
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