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NPI 1104026087

NPI 1104026087 : CHRISTOPHER ALVIN PATTERSON PHARMD : COPPERHILL, TN

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General NPI Number Information
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    NPI Number           |    1104026087
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER ALVIN PATTERSON PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/19/2007
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    Last Update Date     |    03/07/2025
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Provider Practice Location Address
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    Address Line         |    116 OCOEE ST 
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    City                 |    COPPERHILL
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    State                |    TN
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    Zip                  |    37317-4071
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    Country              |    US
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    Telephone            |    423-496-5241
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    Fax                  |    423-496-5240
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Provider Business Mailing Address
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    Address Line         |    PO BOX 269 
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    City                 |    BENTON
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    State                |    TN
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    Zip                  |    37307-0269
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    Country              |    US
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    Telephone            |    423-338-5095
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    Fax                  |    423-338-0565
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    9761
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    License Number State |    TN
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