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General NPI Number Information
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NPI Number | 1679610364
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Entity Type | Individual
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Provider Name | PATRICIA L LITTLE MD
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 877 JEFFERSON AVE
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City | MEMPHIS
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State | TN
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Zip | 38103-2807
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Country | US
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Telephone | 901-545-7100
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Fax | 901-448-5540
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Provider Business Mailing Address
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Address Line | 10811 SHADOW PINES RD
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City | PARKER
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State | CO
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Zip | 80138-8487
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Country | US
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Telephone | 720-660-7848
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR40692
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number | DR40692
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 57741
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License Number State | TN
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