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General NPI Number Information
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NPI Number | 1376577239
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Entity Type | Individual
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Provider Name | ANN D PATTERSON MD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 350 CROSSGATES BLVD
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City | BRANDON
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State | MS
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Zip | 39042-2601
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Country | US
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Telephone | 601-824-8280
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Fax |
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Provider Business Mailing Address
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Address Line | 170 E WATERWOOD DR
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City | BRANDON
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State | MS
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Zip | 39047-6527
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Country | US
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Telephone | 601-321-9037
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 16692
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License Number State | MS
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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 | 020647
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 6227
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License Number State | AK
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