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General NPI Number Information
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NPI Number | 1326351982
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Entity Type | Organization
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Legal Business Name | RICHARD F. PATRICK,O.D.,INC.
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 120 BRUCE ST
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City | SEVIERVILLE
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State | TN
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Zip | 37862-3558
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Country | US
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Telephone | 865-453-2025
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Fax | 865-429-1240
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Provider Business Mailing Address
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Address Line | 120 BRUCE ST
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City | SEVIERVILLE
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State | TN
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Zip | 37862-3558
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Country | US
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Telephone | 865-453-2025
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Fax | 865-429-1240
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD FRANKLIN PATRICK
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Credential | O.D.
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Telephone | 865-453-2025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2305
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License Number State | TN
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