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General NPI Number Information
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NPI Number | 1205203502
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Entity Type | Individual
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Provider Name | JENNIFER WHITE PATTERSON APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/21/2015
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Last Update Date | 08/21/2015
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Provider Practice Location Address
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Address Line | 22725 HIGHWAY 76 E
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City | CLINTON
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State | SC
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Zip | 29325-7527
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Country | US
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Telephone | 864-547-8304
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Fax | 864-938-2881
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Provider Business Mailing Address
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Address Line | 22725 HIGHWAY 76 E
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City | CLINTON
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State | SC
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Zip | 29325-7527
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Country | US
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Telephone | 864-547-8304
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Fax | 864-938-2881
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19626
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License Number State | SC
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