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General NPI Number Information
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NPI Number | 1154803500
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Entity Type | Individual
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Provider Name | LATRICIA A PATTERSON
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Gender | Female
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Dates
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Enumeration Date | 09/02/2018
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 813-A PROFESSIONAL PL STE 107
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City | CHESAPEAKE
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State | VA
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Zip | 23320
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Country | US
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Telephone | 757-410-2175
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Fax | 757-410-1281
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Provider Business Mailing Address
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Address Line | 813-A PROFESSIONAL PL STE 107
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City | CHESAPEAKE
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State | VA
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Zip | 23320
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Country | US
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Telephone | 757-582-0807
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Fax | 757-819-7091
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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