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General NPI Number Information
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NPI Number | 1366877797
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Entity Type | Individual
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Provider Name | MARIE C. PATTON R.N., N.P.P.
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Gender | Female
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Dates
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Enumeration Date | 09/04/2013
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 30 BLUE JAY WAY
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City | REXFORD
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State | NY
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Zip | 12148-1332
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Country | US
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Telephone | 631-504-8468
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Fax |
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Provider Business Mailing Address
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Address Line | 30 BLUE JAY WAY
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City | REXFORD
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State | NY
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Zip | 12148-1332
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Country | US
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Telephone | 631-504-8468
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 589659
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 401613
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License Number State | NY
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