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General NPI Number Information
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NPI Number | 1528786696
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Entity Type | Individual
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Provider Name | CHERESE LYNNETTE PATTERSON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 3200 BELMONT AVE STE 1
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1862
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Country | US
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Telephone | 330-759-0986
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 BELMONT AVE STE 1
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1862
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP026629
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0031964
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License Number State | OH
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