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General NPI Number Information
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NPI Number | 1336320852
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Entity Type | Individual
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Provider Name | RAYMOND K PATTERSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 1505 W SHERMAN AVE
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City | VINELAND
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State | NJ
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Zip | 08360-6912
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Country | US
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Telephone | 856-641-8000
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Fax | 856-641-7668
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Provider Business Mailing Address
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Address Line | PO BOX 650782
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City | DALLAS
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State | TX
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Zip | 75265-0782
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Country | US
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Telephone | 302-733-0806
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Fax | 302-733-0854
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA08278800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD432604
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License Number State | PA
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