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General NPI Number Information
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NPI Number | 1316958416
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Entity Type | Individual
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Provider Name | PRISCILLA PATTERSON CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | NA
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City | NA
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State | NA
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Zip | 00000
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Country | UM
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Telephone | -11-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 30 HUNTINGTON BEACH DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-3228
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Country | US
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Telephone | 719-433-6221
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 616626
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 66596
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License Number State | CO
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