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General NPI Number Information
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NPI Number | 1235087933
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Entity Type | Individual
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Provider Name | LYDIA BELL PATTERSON
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Gender | Female
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 5171 GLENWOOD AVE STE 211
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City | RALEIGH
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State | NC
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Zip | 27612-3266
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Country | US
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Telephone | 919-865-8814
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Fax |
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Provider Business Mailing Address
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Address Line | 10355 MOUNT ZION CHURCH RD
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City | BRANDY STATION
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State | VA
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Zip | 22714-1747
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Country | US
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Telephone | 540-497-2344
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001180434
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License Number State | VA
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