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General NPI Number Information
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NPI Number | 1225902901
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Entity Type | Individual
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Provider Name | MR. LUKAS BENJAMIN PATTON
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Gender | Male
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 4301 N 75TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3553
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Country | US
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Telephone | 480-687-8091
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 W STEED RDG
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City | PHOENIX
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State | AZ
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Zip | 85085-2779
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Country | US
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Telephone | 602-418-2780
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | AZ23573653
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License Number State | AZ
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