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General NPI Number Information
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NPI Number | 1144200254
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Entity Type | Individual
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Provider Name | PATRICIA ANN TODD ANP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | CC004 SUNY CANTON DAVIS HEALTH CENTER
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City | CANTON
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State | NY
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Zip | 13617-1098
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Country | US
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Telephone | 315-386-7333
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Fax | 315-386-7932
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Provider Business Mailing Address
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Address Line | CC004 SUNY CANTON DAVIS HEALTH CENTER
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City | CANTON
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State | NY
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Zip | 13617-1098
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Country | US
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Telephone | 315-386-7333
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Fax | 315-386-7932
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 30301001
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License Number State | NY
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