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General NPI Number Information
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NPI Number | 1427460476
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Entity Type | Individual
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Provider Name | NATHAN WRIGHT PATTERSON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 2879 ROB SHEPHARD DR
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City | BURLINGTON
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State | NC
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Zip | 27215-9299
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Country | US
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Telephone | 336-226-0978
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 369
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City | ALAMANCE
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State | NC
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Zip | 27201-0369
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9755
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License Number State | NC
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