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General NPI Number Information
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NPI Number | 1558772020
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Entity Type | Organization
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Legal Business Name | LINDSAY A. PATTERSON
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Dates
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Enumeration Date | 05/18/2014
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Last Update Date | 05/18/2014
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Provider Practice Location Address
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Address Line | 220 APPLE DRUPE WAY
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-9673
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Country | US
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Telephone | 919-618-1855
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Fax |
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Provider Business Mailing Address
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Address Line | 220 APPLE DRUPE WAY
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-9673
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Country | US
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Telephone | 919-618-1855
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Fax |
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Authorized Official
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Title or Position | OUTPATIENT THERAPIST
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Name | LINDSAY A. PATTERSON
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Credential | LCSWA
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Telephone | 919-618-1855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | P008152
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License Number State | NC
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