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General NPI Number Information
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NPI Number | 1417643693
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Entity Type | Organization
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Legal Business Name | A PATTERN HEALTH INC PC
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 3300 WILCOX BLVD
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City | CHATTANOOGA
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State | TN
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Zip | 37411-3023
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Country | US
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Telephone | 423-509-4575
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 WILCOX BLVD
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City | CHATTANOOGA
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State | TN
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Zip | 37411-3023
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Country | US
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Telephone | 423-509-4575
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Fax |
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Authorized Official
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Title or Position | TREASURY
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Name | JULIE-ANN GRANT
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Credential |
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Telephone | 423-509-4575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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