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General NPI Number Information
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NPI Number | 1295541761
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Entity Type | Individual
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Provider Name | EMRY J. PATTERSON CNIM
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Gender | Male
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 340 W MAIN ST # 122
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City | TREMONTON
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State | UT
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Zip | 84337-1210
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Country | US
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Telephone | 801-643-5057
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Fax |
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Provider Business Mailing Address
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Address Line | 1385 W BERING DR
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City | COEUR D ALENE
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State | ID
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Zip | 83815-8376
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Country | US
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Telephone | 503-890-6540
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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 | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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