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General NPI Number Information
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NPI Number | 1346370210
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Entity Type | Organization
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Legal Business Name | PATTS PLACE
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2005 ANN AVE
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City | RALEIGH
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State | NC
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Zip | 27610-4501
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Country | US
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Telephone | 919-741-1045
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Fax |
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Provider Business Mailing Address
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Address Line | 310 WALNUT WOODS DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-6731
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOLANDA JEAN JONES
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Credential |
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Telephone | 919-741-1045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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