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General NPI Number Information
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NPI Number | 1235093410
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Entity Type | Individual
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Provider Name | LEVI ALLEN PATTERSON
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Gender | Male
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 3149 N HWY 81
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City | DUNCAN
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State | OK
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Zip | 73533-9283
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Country | US
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Telephone | 580-359-0596
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Fax |
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Provider Business Mailing Address
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Address Line | 204 N ASH ST
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City | MARLOW
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State | OK
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Zip | 73055-2265
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Country | US
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Telephone | 580-359-0596
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 3252
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License Number State | OK
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