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General NPI Number Information
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NPI Number | 1194994863
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Entity Type | Organization
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Legal Business Name | GREGORY J PATTON MD PA
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 10611 GARLAND ROAD STE 201
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City | DALLAS
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State | TX
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Zip | 75218-2666
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Country | US
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Telephone | 214-320-0010
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Fax | 214-327-6050
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Provider Business Mailing Address
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Address Line | 10611 GARLAND ROAD # 201
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City | DALLAS
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State | TX
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Zip | 75218-2666
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Country | US
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Telephone | 214-320-0010
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Fax | 214-327-6050
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Authorized Official
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Title or Position | PHYSICIAN/PROPRIETOR
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Name | DR. GREGORY J PATTON
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Credential | MD
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Telephone | 214-320-0010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G7142
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License Number State | TX
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