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General NPI Number Information
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NPI Number | 1689384448
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Entity Type | Organization
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Legal Business Name | AMY PATE MD PLLC DBA ROCKY MOUNTAIN WOUND CARE SPECIALISTS
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 3013 TAFT AVE STE 2
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City | LOVELAND
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State | CO
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Zip | 80538-8303
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Country | US
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Telephone | 970-509-5031
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Fax | 970-509-7044
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Provider Business Mailing Address
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Address Line | 3013 TAFT AVE STE 2
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City | LOVELAND
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State | CO
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Zip | 80538-8303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD, OWNER
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Name | AMY PATE
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Credential | MD
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Telephone | 970-509-5031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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