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General NPI Number Information
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NPI Number | 1336169499
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Entity Type | Individual
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Provider Name | DONNA S PATTERSON NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 2850 TRICOM STREET
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9192
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Country | US
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Telephone | 843-863-1188
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Fax | 843-863-8286
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Provider Business Mailing Address
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Address Line | 2850 TRICOM STREET LOW COUNTRY ENT,PA
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9192
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Country | US
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Telephone | 843-863-1188
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Fax | 843-863-8286
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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 | RN124405
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License Number State | GA
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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 | R124405
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4111
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License Number State | SC
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