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General NPI Number Information
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NPI Number | 1437013612
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Entity Type | Organization
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Legal Business Name | PATCHWORK COMMUNITY CARE LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 172 HARVEY OSTEEN RD
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City | ZIRCONIA
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State | NC
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Zip | 28790-5701
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Country | US
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Telephone | 828-388-7523
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Fax |
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Provider Business Mailing Address
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Address Line | 172 HARVEY OSTEEN RD
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City | ZIRCONIA
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State | NC
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Zip | 28790-5701
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Country | US
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Telephone | 828-388-7523
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Fax |
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Authorized Official
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Title or Position | FOUNDER, PHYSICIAN ASSISTANT
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Name | WREN GEORGE
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Credential | DMS, PA-C, AAHIVS
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Telephone | 828-338-7523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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