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General NPI Number Information
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NPI Number | 1669780946
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Entity Type | Organization
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Legal Business Name | TODD E. PATTON DDS, LLC
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 104 FORBES ST SUITE 204
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1516
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Country | US
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Telephone | 410-295-1000
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Fax | 410-295-1001
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Provider Business Mailing Address
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Address Line | 104 FORBES ST SUITE 204
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1516
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Country | US
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Telephone | 410-295-1000
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Fax | 410-295-1001
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. TODD EDWARD PATTON
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Credential | DDS
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Telephone | 410-295-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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