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General NPI Number Information
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NPI Number | 1497071336
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Entity Type | Individual
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Provider Name | PATRICIA ANNE LOFTUS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 550 PEACHTREE ST NE EMORY UNIVERSITY HOSPITAL, MIDTOWN
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City | ATLANTA
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State | GA
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Zip | 30308-2208
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Country | US
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Telephone | 570-241-7796
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Fax |
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Provider Business Mailing Address
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Address Line | 647 E 14TH ST APARTMENT 7D
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City | NEW YORK
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State | NY
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Zip | 10009-3101
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Country | US
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Telephone | 570-241-7796
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 73274
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License Number State | GA
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