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NPI 1568885531

NPI 1568885531 : CHRISTOPHER S. PATTON, D.D.S., P.A. : PHILLIPSBURG, KS

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General NPI Number Information
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    NPI Number           |    1568885531
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRISTOPHER S. PATTON, D.D.S., P.A. 
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Dates
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    Enumeration Date     |    01/28/2014
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    Last Update Date     |    01/28/2014
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Provider Practice Location Address
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    Address Line         |    730 4TH ST 
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    City                 |    PHILLIPSBURG
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    State                |    KS
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    Zip                  |    67661-1916
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    Country              |    US
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    Telephone            |    785-543-5123
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    Fax                  |    785-543-2803
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Provider Business Mailing Address
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    Address Line         |    730 4TH ST 
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    City                 |    PHILLIPSBURG
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    State                |    KS
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    Zip                  |    67661-1916
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    Country              |    US
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    Telephone            |    785-543-5123
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    Fax                  |    785-543-2803
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Authorized Official
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    Title or Position    |    OWNER/DENTIST
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    Name                 |     CHRISTOPHER S PATTON 
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    Credential           |    D.D.S.
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    Telephone            |    785-543-5123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    6851
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    License Number State |    KS
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