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General NPI Number Information
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NPI Number | 1346307022
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Entity Type | Individual
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Provider Name | DIANE A. PATTERSON MS, MBA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 100 ERDMAN WAY
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City | LEOMINSTER
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State | MA
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Zip | 01453-1804
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Country | US
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Telephone | 978-466-8390
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Fax | 978-537-3496
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Provider Business Mailing Address
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Address Line | 100 ERDMAN WAY
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City | LEOMINSTER
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State | MA
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Zip | 01453-1804
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Country | US
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Telephone | 978-466-8390
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Fax | 978-537-3496
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E-0003844
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3789
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License Number State | MA
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