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General NPI Number Information
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NPI Number | 1578404729
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Entity Type | Individual
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Provider Name | SHI'VONNA PATTESON
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Gender | Female
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 1315 E SUNSET DR STE 203
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City | MONROE
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State | NC
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Zip | 28112-4333
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Country | US
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Telephone | 704-900-0478
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Fax | 704-469-1527
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Provider Business Mailing Address
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Address Line | 12126 LEMMOND FARM DR APT 3511
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City | CHARLOTTE
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State | NC
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Zip | 28227-8308
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Country | US
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Telephone | 980-384-1587
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | P018834
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License Number State | NC
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