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General NPI Number Information
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NPI Number | 1699816231
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Entity Type | Organization
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Legal Business Name | ROBERT G PATTERSON LLC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 405 8TH AVE NW SUITE 333
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City | ABERDEEN
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State | SD
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Zip | 57401-2762
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Country | US
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Telephone | 605-225-3622
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Fax | 605-229-2719
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Provider Business Mailing Address
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Address Line | 405 8TH AVE NW SUITE 333
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City | ABERDEEN
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State | SD
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Zip | 57401-2762
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Country | US
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Telephone | 605-225-3622
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Fax | 605-229-2719
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. FAE SCHAFFER
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Credential |
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Telephone | 605-225-3622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 149
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License Number State | SD
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