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General NPI Number Information
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NPI Number | 1225019490
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Entity Type | Individual
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Provider Name | ARTHUR JAMES PATTERSON JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DRIVE
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City | CLARKSBURG
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State | WV
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Zip | 26301-4199
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Country | US
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Telephone | 304-623-3461
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Fax |
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Provider Business Mailing Address
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Address Line | 108 PARKVIEW DR APT# 104
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City | BRIDGEPORT
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State | WV
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Zip | 26330-4557
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Country | US
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Telephone | 724-998-2473
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD022347E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25765
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License Number State | WV
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