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General NPI Number Information
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NPI Number | 1407359979
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Entity Type | Individual
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Provider Name | KAITLYN PATTERSON
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Gender | Female
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 2002 EASTWOOD RD STE 106A
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City | WILMINGTON
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State | NC
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Zip | 28403-7218
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Country | US
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Telephone | 910-726-2002
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Fax | 910-401-1579
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Provider Business Mailing Address
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Address Line | 7228 CULLODEN CT
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City | WILMINGTON
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State | NC
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Zip | 28411-7265
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Country | US
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Telephone | 910-726-2002
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Fax | 910-401-1579
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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