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General NPI Number Information
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NPI Number | 1609076231
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Entity Type | Organization
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Legal Business Name | PATTERSON HEALTH SERVICES
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Dates
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Enumeration Date | 07/22/2007
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Last Update Date | 07/22/2007
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Provider Practice Location Address
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Address Line | 204 HOLYOKE RD
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City | BUTLER
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State | PA
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Zip | 16001-1277
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Country | US
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Telephone | 724-355-1853
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Fax |
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Provider Business Mailing Address
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Address Line | 204 HOLYOKE RD
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City | BUTLER
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State | PA
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Zip | 16001-1277
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Country | US
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Telephone | 724-355-1853
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. GEOFFREY SCOTT PATTERSON
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Credential | PT
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Telephone | 724-355-1853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | PT-008149-L
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License Number State | PA
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