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General NPI Number Information
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NPI Number | 1104265719
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Entity Type | Individual
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Provider Name | JENNIFER RACHEL PATTERSON BC-HIS
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Gender | Female
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 24445 HAWTHORNE BLVD STE. 109
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City | TORRANCE
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State | CA
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Zip | 90505-6562
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Country | US
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Telephone | 310-893-6113
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Fax |
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Provider Business Mailing Address
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Address Line | 555 ROSEWOOD AVE APT. 207
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City | CAMARILLO
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State | CA
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Zip | 93010-5925
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Country | US
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Telephone | 702-335-1276
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA 7740
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 310
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License Number State | NV
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