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General NPI Number Information
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NPI Number | 1588937429
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Entity Type | Organization
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Legal Business Name | PATRICK PONTEE M.D.
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 5500 HOHMAN AVE
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City | HAMMOND
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State | IN
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Zip | 46320-1965
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Country | US
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Telephone | 219-931-6696
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 HOHMAN AVE
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City | HAMMOND
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State | IN
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Zip | 46320-1965
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Country | US
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Telephone | 219-931-6696
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | PATRICK A. PONTEE
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Credential | M.D.
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Telephone | 219-931-6696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01031616A
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License Number State | IN
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