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General NPI Number Information
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NPI Number | 1437823663
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Entity Type | Individual
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Provider Name | CHRISTINA PATTERSON CRNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 379 HIGHWAY 239
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City | CLAYTON
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State | AL
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Zip | 36016-4618
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Country | US
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Telephone | 334-775-3331
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Fax |
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Provider Business Mailing Address
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Address Line | 1774 COUNTY ROAD 5508
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City | TROY
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State | AL
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Zip | 36081-6022
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Country | US
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Telephone | 334-268-4759
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-129772
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License Number State | AL
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