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General NPI Number Information
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NPI Number | 1699807891
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Entity Type | Individual
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Provider Name | LARRY DOUGLAS PATTERSON DC
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 463 1ST ST NW
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City | CLEVELAND
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State | TN
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Zip | 37311-1760
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Country | US
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Telephone | 423-479-9487
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Fax | 423-472-8570
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Provider Business Mailing Address
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Address Line | 272 PLEASANT HILL RD
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City | SWEETWATER
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State | TN
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Zip | 37874-6622
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Country | US
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Telephone | 423-836-1412
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC459
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License Number State | TN
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