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General NPI Number Information
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NPI Number | 1699387464
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Entity Type | Individual
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Provider Name | JAMES Z PATE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 2311 SANFORD AVE SW
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City | ROANOKE
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State | VA
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Zip | 24014-1122
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Country | US
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Telephone | 540-524-9983
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Fax | 833-308-3108
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Provider Business Mailing Address
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Address Line | 2311 SANFORD AVE SW
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City | ROANOKE
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State | VA
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Zip | 24014-1122
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Country | US
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Telephone | 540-524-9983
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Fax | 833-308-3108
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202208146
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License Number State | VA
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