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General NPI Number Information
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NPI Number | 1376754101
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Entity Type | Individual
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Provider Name | KIM MARIE PATEY AP
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 8903 REGENTS PARK DR SUITE
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City | TAMPA
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State | FL
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Zip | 33647-3083
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Country | US
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Telephone | 813-960-8833
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Fax | 954-389-1400
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Provider Business Mailing Address
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Address Line | PO BOX 46457
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City | TAMPA
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State | FL
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Zip | 33646-0104
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Country | US
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Telephone | 813-300-8585
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Fax | 954-389-1400
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1270
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License Number State | FL
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