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General NPI Number Information
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NPI Number | 1497913974
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Entity Type | Organization
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Legal Business Name | P. MICHAEL PATTERSON
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 115A LA GRANGE AVE, SUITE 101
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City | LA PLATA
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State | MD
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Zip | 20646-3946
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Country | US
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Telephone | 301-392-1935
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Fax | 301-392-1936
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Provider Business Mailing Address
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Address Line | 115A LA GRANGE AVE, SUITE 101
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City | LA PLATA
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State | MD
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Zip | 20646-3946
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Country | US
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Telephone | 301-392-1935
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Fax | 301-392-1936
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL M PATTERSON
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Credential | NP
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Telephone | 301-392-1935
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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 |
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License Number State |
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