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General NPI Number Information
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NPI Number | 1669405650
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Entity Type | Individual
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Provider Name | ELENA O. PATTERSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/19/2015
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Provider Practice Location Address
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Address Line | 364 WHITE OAK ST
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City | ASHEBORO
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State | NC
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Zip | 27203-5434
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Country | US
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Telephone | 336-625-5151
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Fax | 336-328-2220
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Provider Business Mailing Address
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Address Line | PO BOX 2256
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City | ASHEBORO
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State | NC
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Zip | 27204-2256
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Country | US
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Telephone | 336-736-8989
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Fax | 336-328-2220
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2012-00447
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License Number State | NC
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