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General NPI Number Information
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NPI Number | 1255512935
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Entity Type | Individual
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Provider Name | JESSICA S PATTERSON NP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 13710 ST. FRANCIS MEDICAL CENTER BON SECOURS ST. FRANCIS MEDICAL CENTER
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City | MIDLOTHIAN
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State | VA
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Zip | 23114
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Country | US
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Telephone | 804-594-3450
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Fax | 804-594-3455
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Provider Business Mailing Address
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Address Line | 13710 ST. FRANCIS MEDICAL CENTER BON SECOURS ST. FRANCIS MEDICAL CENTER
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City | MIDLOTHIAN
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State | VA
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Zip | 23114
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Country | US
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Telephone | 804-594-3450
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Fax | 804-594-3455
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.09787.NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024168191
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License Number State | VA
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