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General NPI Number Information
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NPI Number | 1245782044
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Entity Type | Individual
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Provider Name | JASON PATTERSON NP-C
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Gender | Male
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 44595 HIGHWAY 17
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City | VERNON
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State | AL
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Zip | 35592-5759
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Country | US
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Telephone | 205-712-4944
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Fax | 205-900-2237
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Provider Business Mailing Address
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Address Line | 44595 HIGHWAY 17
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City | VERNON
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State | AL
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Zip | 35592-5759
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Country | US
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Telephone | 205-712-4944
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Fax | 205-900-2237
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1-131585
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License Number State | AL
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