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General NPI Number Information
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NPI Number | 1467018481
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Entity Type | Individual
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Provider Name | ZACHARY PATTERSON
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Gender | Male
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 12621 ECKEL JUNCTION RD # 2800
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City | PERRYSBURG
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State | OH
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Zip | 43551-1304
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Country | US
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Telephone | 419-724-4777
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Fax | 419-724-4776
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Provider Business Mailing Address
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Address Line | 6821 KNIGHTSWOOD LN
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City | TOLEDO
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State | OH
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Zip | 43617-1246
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Country | US
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Telephone | 925-330-9919
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 34.017366
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License Number State | OH
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