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General NPI Number Information
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NPI Number | 1477541308
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Entity Type | Individual
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Provider Name | JACALYN B PATTON M.S.P.A.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 21 GLENEAGLES LN
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City | BULVERDE
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State | TX
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Zip | 78163-3121
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Country | US
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Telephone | 210-862-7975
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Fax |
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Provider Business Mailing Address
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Address Line | 21 GLENEAGLES LN
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City | BULVERDE
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State | TX
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Zip | 78163-3121
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Country | US
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Telephone | 210-862-7975
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 50433
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 50433
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License Number State | TX
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