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General NPI Number Information
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NPI Number | 1417198722
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Entity Type | Individual
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Provider Name | PATRICK ANDREWS ELLIS MD
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Gender | Male
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 100 B E ALTON GLOOR BLVD SUITE 160
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3376
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Country | US
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Telephone | 956-350-2245
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Fax | 956-350-9557
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Provider Business Mailing Address
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Address Line | 100B E ALTON GLOOR BLVD STE 160
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3376
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | N4395
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License Number State | TX
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