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General NPI Number Information
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NPI Number | 1740676808
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Entity Type | Individual
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Provider Name | TAMMI GAY PATTERSON CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 1501 PASADENA AVE S
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-3798
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Country | US
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Telephone | 727-381-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 85 WALLY WAY
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-8545
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Country | US
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Telephone | 434-962-8556
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 11004758
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 219576
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN-TP 19546
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | NA95000869
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4002940
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License Number State | KY
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