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General NPI Number Information
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NPI Number | 1215931753
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Entity Type | Individual
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Provider Name | STUART DREW PATTERSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 2000 E EDGEWOOD DR STE 112
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City | LAKELAND
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State | FL
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Zip | 33803-3639
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Country | US
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Telephone | 863-666-3436
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Fax | 863-667-3550
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Provider Business Mailing Address
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Address Line | 2000 E EDGEWOOD DR STE 112
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City | LAKELAND
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State | FL
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Zip | 33803-3639
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Country | US
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Telephone | 863-666-3436
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Fax | 863-667-3550
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME76265
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME76265
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License Number State | FL
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