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General NPI Number Information
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NPI Number | 1720906308
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Entity Type | Individual
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Provider Name | PATRICK ALLEN HEALY
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Gender | Male
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | PO BOX 30532
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City | MANATI
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State | PR
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Zip | 00674-8513
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Country | US
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Telephone | 787-621-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 9012 69TH AVE E
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City | PALMETTO
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State | FL
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Zip | 34221-9253
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Country | US
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Telephone | 787-878-5475
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 105667-G
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License Number State | PR
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