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General NPI Number Information
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NPI Number | 1548087570
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Entity Type | Individual
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Provider Name | CAYMAN PATTERSON
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Gender | Female
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 900 S 12TH ST
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City | ROCKY FORD
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State | CO
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Zip | 81067-2128
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Country | US
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Telephone | 512-921-7709
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 SAN JUAN AVE
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City | LA JUNTA
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State | CO
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Zip | 81050-2846
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Country | US
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Telephone | 512-921-7709
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 0006274
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License Number State | CO
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