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General NPI Number Information
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NPI Number | 1376056622
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Entity Type | Individual
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Provider Name | GENEVIEVE D PATE ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 294843 US HIGHWAY 101
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City | QUILCENE
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State | WA
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Zip | 98376-9800
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Country | US
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Telephone | 360-385-3991
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Fax | 360-765-3811
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Provider Business Mailing Address
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Address Line | 2376 DORA DR
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City | CLEARWATER
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State | FL
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Zip | 33765-2721
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Country | US
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Telephone | 727-744-7811
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9283328
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License Number State | FL
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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 | AP61374595
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License Number State | WA
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